| NPI | 1811648827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY VP Revenue Cycle 502-253-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-03-08 |