Pediatric Care of Kentucky Psc

NPI #1598739849 in Edgewood, Kentucky

Provider Information

NPI Number
1598739849
Entity Type
Organization
Organization Name
Pediatric Care of Kentucky Psc
Primary Specialty
Pediatrics
Enumeration Date
Feb 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
20 MEDICAL VILLAGE DR
Address 2
SUITE 102
ZIP Code
41017-5401
Phone
(859) 341-1011

Authorized Official

Name
MRS. JEANEEN M DEDDEN
Title
BUSINESS MANAGER
Phone
(859) 341-7500

Specialties & Taxonomy Codes

Specialty
Pediatrics

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