| NPI | 1851899850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GAST VP Managed Care 502-272-5165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 207LP2900X Anesthesiology Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-09-21 |