| NPI | 1659699916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A GRAHAM Office Manager 502-409-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 36345) |
| Additional Taxonomies | 208800000X Urology (Licence: KY 36345) |
| 363L00000X Nurse Practitioner | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-11-04 |