NPI | 1669873881 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RI0011X Internal Medicine, Interventional Cardiology | |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
Enumeration Date | 2014-09-07 |
Last Update Date | 2022-04-22 |