PEDIATRIC AND NEONATAL PRACTICE NPI 1225198294

NPI Information

  • NPI: 1225198294
  • Provider Name: PEDIATRIC AND NEONATAL PRACTICE
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 720 HOSPITAL DR
    2ND FLOOR
    SHELBYVILLE, KY
    ZIP 40065
  • Phone: (502) 647-5468

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NPI Details

PEDIATRIC AND NEONATAL PRACTICE is an adolescent medicine pediatrics in Shelbyville, KY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC AND NEONATAL PRACTICE NPI is 1225198294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

720 HOSPITAL DR
2ND FLOOR
SHELBYVILLE, KY
ZIP 40065-685
Phone: (502) 647-5468
Fax: (502) 647-7134

The provider's authorized official is Dawn Marie Carter .
The authorized official title is Medical Billing and has the following contact phone number (502) 647-5468.

The enumeration date for this NPI number is 12/11/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine29789 AND 29596KENTUCKYYes

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: 11/21/2025

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