| NPI | 1982244885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WHEATLEY President, Retail Segment 502-580-2003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |