PUTNAM COUNTY PEDIATRICS NPI 1215054754

NPI Information

  • NPI: 1215054754
  • Provider Name: PUTNAM COUNTY PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: KIDS KARE PEDIATRICS
  • CLIA Number: 44D0316153
  • Address: 758 S WILLOW AVE
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 526-6173

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NPI Details

PUTNAM COUNTY PEDIATRICS is a pediatrics in Cookeville, TN. 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. PUTNAM COUNTY PEDIATRICS NPI is 1215054754. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kids Kare Pediatrics.

The provider's business location address is:

758 S WILLOW AVE
COOKEVILLE, TN
ZIP 38501-840
Phone: (931) 526-6173
Fax: (931) 526-5084

The provider's authorized official is Christopher D Climaco .
The authorized official title is PHYSICIAN OWNEROwner and has the following contact phone number (931) 526-6173.

The CLIA number assigned to this NPI record is 44D0316153 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 3/5/2014.

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
12080P0202XPediatricsPediatric CardiologyNo
2208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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