| NPI | 1790961761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA J THRASHER Office Manager 502-895-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KY 39660) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2014-10-02 |