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PUTNAM COUNTY PEDIATRICS NPI 1215054754


NPI Information

NPI: 1215054754
Provider Name: PUTNAM COUNTY PEDIATRICS

Doing Business As: KIDS KARE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 44D0316153

Address:
758 S WILLOW AVE
COOKEVILLE, TN
ZIP 38501
Phone: (931) 526-6173
Get Directions

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?

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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