Pediatric Partners of Western Ky

NPI #1710138367 in Owensboro, Kentucky

Provider Information

NPI Number: 1710138367
Entity Type: Organization
Organization Name: Pediatric Partners of Western Ky
Primary Specialty: Physician Assistant
Enumeration Date: Oct 1, 2008
Last Updated: Oct 1, 2008

Practice Location

Address: 2707 BRECKENRIDGE ST
Address 2: STE. 2
City: Owensboro
State: Kentucky
ZIP Code: 42303-1385
Phone: (270) 926-8828

Authorized Official

Name: MR. JOHN T HOUSTON, M.D.
Title: OWNER
Phone: (270) 926-8828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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