| NPI | 1821471103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP SINGH Billing Manager 502-565-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009472) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |