Red Maple Pediatrics LLC
NPI #1295461119 in Russellville, Kentucky
Provider Information
- NPI Number
- 1295461119
- Entity Type
- Organization
- Organization Name
- Red Maple Pediatrics LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 25, 2022
- Last Updated
- Feb 26, 2024
Practice Location
- Address
- 1621 NASHVILLE ST STE 106
- City
- Russellville
- State
- Kentucky
- ZIP Code
- 42276-8871
- Phone
- (270) 946-1372
Authorized Official
- Name
- DANIELLE KENNEDY-FOSTER, MD
- Title
- MD
- Phone
- (270) 438-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
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