| NPI | 1407934730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON D LAVERTY Mgr/Owner 502-568-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1089893/2802A) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-11-01 |