Pediatric Specialty Clinic, Llc.

NPI #1053605063 in Lexington, Kentucky

Provider Information

NPI Number
1053605063
Entity Type
Organization
Organization Name
Pediatric Specialty Clinic, Llc.
Primary Specialty
Pediatrics
Enumeration Date
Jun 7, 2011
Last Updated
Mar 12, 2015

Practice Location

Address
2647 REGENCY RD
ZIP Code
40503-2959
Phone
(859) 276-1088

Authorized Official

Name
MS. ANN S GILES
Title
CEO/MEMBER
Phone
(859) 219-2828

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics
Pediatrics

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