| NPI | 1679783039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER RENEA LEWIS President 502-412-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |