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PRIMARY PEDIATRICS NPI 1164573564


NPI Information

NPI: 1164573564
Provider Name: PRIMARY PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 18D0672538

Address:
59 CAVALIER BLVD
SUITE 330
FLORENCE, KY
ZIP 41042
Phone: (859) 371-3232
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PRIMARY PEDIATRICS is a pediatrics in Florence, 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. PRIMARY PEDIATRICS NPI is 1164573564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

59 CAVALIER BLVD
SUITE 330
FLORENCE, KY
ZIP 41042-901
Phone: (859) 371-3232
Fax: (859) 371-6943

The provider's authorized official is Bridget Cook .
The authorized official title is Billing and has the following contact phone number (859) 371-3232.

The CLIA number assigned to this NPI record is 18D0672538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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