The Childrens Clinic, Pllc.

NPI #1669523684 in Lebanon, Kentucky

Provider Information

NPI Number: 1669523684
Entity Type: Organization
Organization Name: The Childrens Clinic, Pllc.
Primary Specialty: Pediatrics
Enumeration Date: Jan 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 420 LORETTA ROAD
City: Lebanon
State: Kentucky
ZIP Code: 40033
Phone: (270) 699-2210

Authorized Official

Name: MAX GUCILATAR, M.D.
Title: OWNER
Phone: (270) 699-2210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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