| NPI | 1427441443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF Q PERRY Manager 502-418-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2024-04-10 |