NPI | 1750435806 |
---|---|
Entity Type | Organization |
Authorized Contact | GERARD RABALAIS Chairman 502-852-8600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 208000000X Pediatrics |
2080A0000X Pediatrics Adolescent Medicine | |
124Q00000X Dental Hygienist | |
1223G0001X Dentist General Practice | |
363L00000X Nurse Practitioner | |
1041C0700X Social Worker Clinical | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2012-07-09 |