| NPI | 1992713978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEESAER General Manager 502-895-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: KY 730098) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-08-31 |