| NPI | 1972075885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA E TAYLOR Owner 502-825-0075 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |