Pediatric Associates

NPI #1013954510 in Stanton, Kentucky

Provider Information

NPI Number
1013954510
Entity Type
Organization
Organization Name
Pediatric Associates
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 1, 2006
Last Updated
Mar 21, 2017

Practice Location

Address
321C E COLLEGE AVE
ZIP Code
40380-2325
Phone
(606) 663-9797

Authorized Official

Name
DJIEN HWAT SO
Title
OPERATING MANAGER
Phone
(606) 432-0174

Specialties & Taxonomy Codes

Specialty
Pediatrics
Nurse Practitioner - FamilyFamily
Physician Assistant
Clinic/Center - Rural HealthRural Health

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