| NPI | 1942231626 |
|---|---|
| Doing Business As | WINGS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES O'BRIEN Chairman Of Department 502-562-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-09-17 |