| NPI | 1477799435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMLESH C DAVE Owner 502-693-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2010-01-27 |