NPI | 1487858890 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE EARL ADAMS Owner 502-585-4321 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology |
207RI0011X Internal Medicine Interventional Cardiology | |
207UN0901X Nuclear Medicine Nuclear Cardiology | |
363AM0700X Physician Assistant Medical | |
363LA2100X Nurse Practitioner Acute Care | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-09-26 |