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MY KIDS PEDIATRIC PARTNERS PC NPI 1407355472


NPI Information

NPI: 1407355472
Provider Name: MY KIDS PEDIATRIC PARTNERS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D2147894

Address:
1102 HIGHWAY 315 BLVD
WILKES BARRE, PA
ZIP 18702
Phone: (570) 235-1470
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MY KIDS PEDIATRIC PARTNERS PC is a pediatrics in Wilkes Barre, PA. 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. MY KIDS PEDIATRIC PARTNERS PC NPI is 1407355472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1102 HIGHWAY 315 BLVD
WILKES BARRE, PA
ZIP 18702-943
Phone: (570) 235-1470
Fax: (570) 550-9256

The provider's authorized official is Michelle Kunec Sudo .
The authorized official title is President and has the following contact phone number (570) 235-1470.

The CLIA number assigned to this NPI record is 39D2147894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 3/20/2018.


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
1208000000XPediatricsOS009616-LPENNSYLVANIAYes

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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