| NPI | 1437754389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MASON Owner 502-432-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |