| NPI | 1548273733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K FEARNEYHOUGH Pathologist 502-583-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| 207N00000X Dermatology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-02-19 |