| NPI | 1902237399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CARRICO CFO 502-896-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2023-09-18 |