| NPI | 1700142429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON ARRINGTON CFO 502-588-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |