| NPI | 1477509891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JANOCIK President 502-895-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 32690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 25901) |
| 207R00000X Internal Medicine (Licence: KY 35865) | |
| 207R00000X Internal Medicine (Licence: KY 28032) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |