NPI | 1578917407 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELINA M STRICKLAND Partner 502-749-3894 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008172) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2021-12-09 |