| NPI | 1780745596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY WOLFSON Office Manager 502-635-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 22581) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-02-27 |