| NPI | 1811152192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN LADSON Administrator 502-432-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 35827) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: KY 35827) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: KY 35827) | |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2022-11-04 |