| NPI | 1902195233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS A HUNT Authorized Official 502-868-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |