| NPI | 1740518463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD P RABALAIS Chairman 502-852-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |