| NPI | 1831996222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2026-03-25 |