NPI | 1679773154 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA M GUELDA Physician/Owner 502-425-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 21489) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2009-02-24 |