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 |