| NPI | 1689774994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN L GEE Office Manager 502-762-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 27333) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 37862) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-06-30 |