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JACKSON PURCHASE PEDIATRICS PLLC NPI 1477795086


NPI Information

NPI: 1477795086
Provider Name: JACKSON PURCHASE PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1029 MEDICAL CENTER CIR
SUITE 200
MAYFIELD, KY
ZIP 42066
Phone: (270) 251-4545
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JACKSON PURCHASE PEDIATRICS, PLLC is a pediatrics in Mayfield, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JACKSON PURCHASE PEDIATRICS, PLLC NPI is 1477795086. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1029 MEDICAL CENTER CIR
SUITE 200
MAYFIELD, KY
ZIP 42066-189
Phone: (270) 251-4545
Fax: (270) 251-4546

The provider's authorized official is Annalee Lynn Paul .
The authorized official title is Md/owner and has the following contact phone number (270) 251-4545.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsPENDINGKENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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