| NPI | 1891863486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUSUM T NIGAM Owner 502-367-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-03-14 |