| NPI | 1750699427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE J SINGER Billing Manager 502-817-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01050254) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |