| NPI | 1588614994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GAST VP Managed Care 502-588-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-11-03 |