| NPI | 1558954776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI CAREY Credentialing Agent 859-576-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-03-06 |