| NPI | 1922401611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY Executive Director Rev Cycle 502-253-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2021-02-18 |