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 |