| NPI | 1699725598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY MCCONNELL President 502-587-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-06-10 |