| NPI | 1811340417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY STEVENS Director Of Revenue Assurance 502-244-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NE 359) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2025-08-22 |