| NPI | 1902627946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F WHEALTON Owner 502-419-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |