Pediatrics of Bullitt County Pllc
NPI #1730326109 in Shepherdsville, Kentucky
Provider Information
- NPI Number
- 1730326109
- Entity Type
- Organization
- Organization Name
- Pediatrics of Bullitt County Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 7, 2009
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 1707 CEDAR GROVE RD
- Address 2
- SUITE 20
- City
- Shepherdsville
- State
- Kentucky
- ZIP Code
- 40165-8572
- Phone
- (502) 215-5090
Authorized Official
- Name
- CASEY M LEWIS, MD
- Title
- OWNER
- Phone
- (502) 215-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Pediatrics |
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