| NPI | 1689406761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CASHION Partner 502-396-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-12-20 |