| NPI | 1699179895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY Director Revenue Cycle Management 502-253-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2018-01-22 |