| NPI | 1417902925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E SNAWDER Business Office Director 502-589-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-12-22 |