Shelby Pediatrics, Psc
NPI #1558415760 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1558415760
- Entity Type
- Organization
- Organization Name
- Shelby Pediatrics, Psc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Mar 27, 2013
Practice Location
- Address
- 71 MACK WALTERS RD
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-1751
- Phone
- (502) 633-7337
Authorized Official
- Name
- ERIC J SIEGEL, MD
- Title
- MEDICAL DOCTOR
- Phone
- (502) 633-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Pediatrics — Pediatrics |
| Registered Nurse |
| Pediatrics |
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