| NPI | 1740501931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMLESH C DAVE Presdient/Owner 502-693-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2013-07-24 |