NPI | 1740586213 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE SMITH Director 502-238-2801 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-02-01 |
Last Update Date | 2015-08-05 |