| NPI | 1487938262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KELLY VP Of Operations 502-217-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |