| NPI | 1811489321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNY P SANDERS Owner/President 502-509-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006599) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-02-24 |