| NPI | 1548801186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GAST Syst VP Of Mngd Care & Payor Strat 502-272-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-03-13 |