| NPI | 1578085155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DUNCAN Director Of Value Based Care 502-759-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251B00000X Case Management | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-01-19 |