| NPI | 1760713796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKASHA HAQ CEO 502-587-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-09-20 |