NPI | 1598809097 |
---|---|
Entity Type | Organization |
Authorized Contact | HORACE P. HAMBRICK President 502-863-6426 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 101YP2500X Counselor, Professional |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2023-04-12 |