| NPI | 1427511583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WHEATLEY President, Retail Segment 502-580-2003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2019-04-07 |