Parkway Pediatrics Psc

NPI #1003875709 in London, Kentucky

Provider Information

NPI Number: 1003875709
Entity Type: Organization
Organization Name: Parkway Pediatrics Psc
Primary Specialty: Pediatrics
Enumeration Date: Mar 21, 2006
Last Updated: Jun 24, 2009

Practice Location

Address: 809 MEYERS BAKER RD
Address 2: SUITE 1
City: London
State: Kentucky
ZIP Code: 40741-3025
Phone: (606) 864-7337

Authorized Official

Name: INDIRA MOODUMANE, MD
Title: PEDIATRIC PHYSICIAN
Phone: (606) 864-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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