| NPI | 1538474580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMLESH C. DAVE President/Owner 502-693-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2011-03-24 |