| NPI | 1760563266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CASHION Ap RN 502-396-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-02-05 |