| NPI | 1851690515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID A KAHLOON CEO 502-261-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD MDASSC) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2017-12-10 |