East Louisville Pediatrics, P.s.c.

NPI #1699792465 in Louisville, Kentucky

Provider Information

NPI Number: 1699792465
Entity Type: Organization
Organization Name: East Louisville Pediatrics, P.s.c.
Primary Specialty: Pediatrics
Enumeration Date: Jul 16, 2006
Last Updated: Feb 13, 2024

Practice Location

Address: 4171 WESTPORT RD
City: Louisville
State: Kentucky
ZIP Code: 40207-2739
Phone: (502) 896-8868

Authorized Official

Name: KAYLA WEST
Title: OFFICE MANAGER
Phone: (502) 721-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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