| NPI | 1649699513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J WESTERMANN Owner 502-426-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-14 |