| NPI | 1437657053 |
|---|---|
| Doing Business As | LONG TERM COVID-19 CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHELLEY GAST VP Managed Care 502-588-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2021-09-21 |