NPI | 1396134540 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDEEP SINGH Manager 502-565-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008170) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-01-12 |