| NPI | 1831754696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE JEFFRIES Partner 502-286-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2022-12-06 |