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
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 - FamilyFamily
Pediatrics
Clinic/Center - Rural HealthRural Health

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