| NPI | 1396865580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN HUSBAND Assistant Administrator 502-893-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-10-25 |