| NPI | 1649499609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C CRONEN Medical Director 502-423-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KY 300124) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-10-17 |