| NPI | 1730216201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE KENDALL Office Manager 502-895-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 14589) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-06-25 |