| NPI | 1861895559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY Director Revenue Cycle Management 502-253-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207L00000X Anesthesiology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| 237700000X Hearing Instrument Specialist | |
| 363A00000X Physician Assistant | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2018-01-22 |