NPI | 1922649573 |
---|---|
Doing Business As | NORTON CHILDREN'S NEPHROLOGY |
Entity Type | Organization |
Authorized Contact | SHELLEY GAST Syst VP Mngd Care & Payor Strat 502-272-5335 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
Additional Taxonomies | 208000000X Pediatrics |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2019-10-04 |
Last Update Date | 2021-09-22 |