Tri-state Pediatrics

NPI 1013098904 - Specialist - 174400000X

NPI Details
NPI 1013098904
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHELLE ELIZABETH MICHELLE
Position BILLING CLERK
Phone (606) 836-0919
Fax (606) 836-2847
Practice Location
900 SAINT CHRISTOPHER DR
BUILDING 4 SUITE 101
ASHLAND KY, 41101-7090, US
Phone (606) 836-0919
Fax (606) 836-2847
Business Location
900 SAINT CHRISTOPHER DR
BUILDING 4 SUITE 101
ASHLAND KY, 41101-7090, US
Phone (606) 836-0919
Fax (606) 836-2847
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number 25781
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According to our database, Tri-state Pediatrics NPI is 1013098904, taxonomy code is 174400000X and license number is 25781, license state is located at Kentucky. Tri-state Pediatrics physically located at 900 Saint Christopher Dr, Ashland KY, 41101-7090. NPI Number 1033115704 has the healthcare provider type.

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1013098904 NPI number is provided on an as is basis without warranty of any kind. 1013098904 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state Pediatrics are for informational purposes only.