| NPI | 1972420172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BROWN Secretary 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-06-30 |