| NPI | 1588174593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA L SMITH Nurse Practitioner 502-802-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 3008696) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-01-23 |