| 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 |