| NPI | 1962531731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN RAY Medical Director 502-895-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-07-30 |