| NPI | 1811195522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KAYE HAWORTH Billing/Coding 502-582-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 29075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 29075) |
| 363L00000X Nurse Practitioner (Licence: KY 3003321) | |
| 363L00000X Nurse Practitioner (Licence: KY 3005620) | |
| 363L00000X Nurse Practitioner (Licence: KY 1101722) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-07-31 |