Pediatric Clinic

NPI #1649522616 in Middlesboro, Kentucky

Provider Information

NPI Number
1649522616
Entity Type
Organization
Organization Name
Pediatric Clinic
Primary Specialty
Pediatrics
Enumeration Date
Oct 15, 2012
Last Updated
Oct 15, 2012

Practice Location

Address
3604 CUMBERLAND AVE
ZIP Code
40965-2614
Phone
(606) 248-8282

Authorized Official

Name
DR. HOUSHANG KHORRAM, MD
Title
DOCTOR
Phone
(606) 248-8282

Specialties & Taxonomy Codes

Specialty
Pediatrics

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