| NPI | 1750307393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN R AMIN President 502-637-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 19340) |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-05-02 |