| NPI | 1831217678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CHRISTIAN Owner 502-454-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: KY SA130) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |