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SOUTH LOUISVILLE PEDIATRICS PSC NPI 1851473391


NPI Information

NPI: 1851473391
Provider Name: SOUTH LOUISVILLE PEDIATRICS PSC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 18D0321674

Address:
5129 DIXIE HWY
SUITE 201
LOUISVILLE, KY
ZIP 40216
Phone: (502) 448-7853
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SOUTH LOUISVILLE PEDIATRICS PSC 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. SOUTH LOUISVILLE PEDIATRICS PSC NPI is 1851473391. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5129 DIXIE HWY
SUITE 201
LOUISVILLE, KY
ZIP 40216
Phone: (502) 448-7853
Fax: (502) 448-0201

The provider's authorized official is David L Speer .
The authorized official title is President and has the following contact phone number (502) 448-7853.

The CLIA number assigned to this NPI record is 18D0321674 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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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