| NPI | 1457851578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWARD LYNCH Organizer 502-430-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-09-08 |