Pediatric Associates

NPI 1013954510 - Pediatrics - 208000000X

NPI Details
NPI 1013954510
Enumeration Date 06/01/2006
Last Updated 04/08/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DJIEN HWAT DJIEN
Position OPERATING MANAGER
Phone (606) 663-9797
Fax (606) 663-9470
Practice Location
321C E COLLEGE AVE
STANTON KY, 40380-2325, US
Phone (606) 663-9797
Fax (606) 663-9470
Business Location
PO BOX 2748
PIKEVILLE KY, 41502-2748, US
Phone (606) 432-3221
Fax (606) 437-0438
Toxanomy
Taxonomy Code 208000000X
License State Kentucky
License Number 900183
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According to our database, Pediatric Associates NPI is 1013954510, taxonomy code is 208000000X and license number is 900183, license state is located at Kentucky. Pediatric Associates physically located at 321c E College Ave, Stanton KY, 40380-2325. NPI Number 1033115704 has the healthcare provider type.

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1013954510 NPI number is provided on an as is basis without warranty of any kind. 1013954510 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Associates are for informational purposes only.