Parkway Pediatrics Psc

NPI 1003875709 - Pediatrics - 208000000X

NPI Details
NPI 1003875709
Enumeration Date 03/21/2006
Last Updated 06/24/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name INDIRA INDIRA
Position PEDIATRIC PHYSICIAN
Phone (606) 864-7337
Fax (606) 878-3257
Practice Location
809 MEYERS BAKER RD
SUITE 1
LONDON KY, 40741-3025, US
Phone (606) 864-7337
Fax (606) 878-3257
Business Location
PO BOX 689
LONDON KY, 40741, US
Phone (606) 864-7337
Fax (606) 878-3257
Toxanomy
Taxonomy Code 208000000X
License State Kentucky
License Number 36054
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According to our database, Parkway Pediatrics Psc NPI is 1003875709, taxonomy code is 208000000X and license number is 36054, license state is located at Kentucky. Parkway Pediatrics Psc physically located at 809 Meyers Baker Rd, London KY, 40741-3025. NPI Number 1033115704 has the healthcare provider type.

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1003875709 NPI number is provided on an as is basis without warranty of any kind. 1003875709 is maintained by the National Plan & Provider Enumeration System. The contents of Parkway Pediatrics Psc are for informational purposes only.