| NPI | 1922143122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W BOONE Vice President 502-454-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 26152) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 27208) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 34007) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 41558) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-12-05 |