NPI | 1578786612 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY HODGKINSON CFO 812-485-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363L00000X Nurse Practitioner | |
2080A0000X Pediatrics, Adolescent Medicine | |
208000000X Pediatrics | |
363LF0000X Nurse Practitioner, Family | |
363LP0200X Nurse Practitioner, Pediatrics | |
363LP2300X Nurse Practitioner, Primary Care | |
363AM0700X Physician Assistant, Medical | |
363A00000X Physician Assistant | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2022-07-21 |