| NPI | 1386011054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MILLER Credentials Coordinator 502-588-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009660) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |