| NPI | 1467610402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI KINCAID Office Administrator 502-897-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 14164) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: KY 14164) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2009-01-29 |