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EAST LOUISVILLE PEDIATRICS P.S.C. NPI 1699792465


NPI Information

NPI: 1699792465
Provider Name: EAST LOUISVILLE PEDIATRICS, P.S.C.

Doing Business As: EAST LOUISVILLE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 18D0321388

Address:
4171 WESTPORT RD
LOUISVILLE, KY
ZIP 40207
Phone: (502) 896-8868
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EAST LOUISVILLE PEDIATRICS, P.S.C. is a pediatrics in Louisville, 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. EAST LOUISVILLE PEDIATRICS, P.S.C. NPI is 1699792465. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Louisville Pediatrics.

The provider's business location address is:

4171 WESTPORT RD
LOUISVILLE, KY
ZIP 40207-739
Phone: (502) 896-8868
Fax: (502) 895-6278

The provider's authorized official is Kayla West .
The authorized official title is Office Manager and has the following contact phone number (502) 721-0012.

The CLIA number assigned to this NPI record is 18D0321388 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 2/13/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2208000000XPediatricsYes

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: 4/28/2024

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