| NPI | 1396780078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYESHA ALLEN Office Manager 502-875-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 27319) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-05-29 |