| NPI | 1922288760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GAST VP Managed Care 502-272-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 204F00000X Transplant Surgery | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 208600000X Surgery | |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2024-02-22 |