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KIDZCARE PEDIATRICS PC NPI 1760865760


NPI Information

NPI: 1760865760
Provider Name: KIDZCARE PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2098673

Address:
1606 WELLINGTON AVE STE F
WILMINGTON, NC
ZIP 28401
Phone: (910) 392-5634
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KIDZCARE PEDIATRICS, PC is a pediatrics in Wilmington, NC. 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. KIDZCARE PEDIATRICS, PC NPI is 1760865760. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1606 WELLINGTON AVE STE F
WILMINGTON, NC
ZIP 28401-704
Phone: (910) 392-5634
Fax: (910) 392-5654

The provider's authorized official is Shantae Renee Lockhart .
The authorized official title is Credentialing Coordinator and has the following contact phone number (910) 483-7337.

The CLIA number assigned to this NPI record is 34D2098673 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 11/14/2022.


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
1208000000XPediatrics118386NORTH CAROLINAYes

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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