NPI | 1598870727 |
---|---|
Entity Type | Organization |
Authorized Contact | FAWN R PATE Office Manager 502-636-2667 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 26253) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003327) |
363L00000X Nurse Practitioner (Licence: KY 3006765) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2012-08-09 |