| 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 | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: KY 35827) |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 2085B0100X Radiology, Body Imaging (Licence: KY 35827) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2025-09-15 |