| NPI | 1639760374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT ANDREWS Owner / Authorized Official 502-309-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-05-20 |