| NPI | 1700150109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN O EGAN President 502-228-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39726) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2013-07-24 |