Rockcastle Pediatrics & Adolescents Psc
NPI #1336379544 in Mount Vernon, Kentucky
Provider Information
- NPI Number
- 1336379544
- Entity Type
- Organization
- Organization Name
- Rockcastle Pediatrics & Adolescents Psc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 22, 2009
- Last Updated
- Feb 16, 2013
Practice Location
- Address
- 140 NEWCOMB AVE
- City
- Mount Vernon
- State
- Kentucky
- ZIP Code
- 40456-2728
- Phone
- (606) 256-4148
Authorized Official
- Name
- CALLIE SHAFFER, M.D.
- Title
- OWNER
- Phone
- (606) 256-4148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
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