| NPI | 1881802585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONTINA A MCCLAIN-PATTON Owner 502-409-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 4354P) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-02-17 |