| NPI | 1821809153 |
|---|---|
| Other Name | DBA ARCH MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | XAVIER GILES Owner 502-384-0939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-10-03 |