NPI | 1437187507 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BOSWELL TABLER President 502-721-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 24856) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: KY 24856) |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2014-06-05 |