| NPI | 1679737266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY NICOLE BAUMGARDNER President 502-299-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |