| NPI | 1942430855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAQAR SALEEM Physician/Owner 502-543-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-05-24 |