Pediatric Acute Care Psc

NPI #1508950429 in Louisville, Kentucky

Provider Information

NPI Number: 1508950429
Entity Type: Organization
Organization Name: Pediatric Acute Care Psc
Primary Specialty: Pediatrics
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3793 POPLAR LEVEL RD
City: Louisville
State: Kentucky
ZIP Code: 40213-1044
Phone: (502) 896-2500

Authorized Official

Name: MS. TRICIA NIENDAM
Title: CREDENTIALLING
Phone: (502) 896-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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