| 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 |