| NPI | 1902342751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W BYRD Owner 502-447-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 34304) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |