HENDERSON PEDIATRICS PSC NPI 1497088090

NPI Information

  • NPI: 1497088090
  • Provider Name: HENDERSON PEDIATRICS, PSC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 1035 N ELM ST
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 827-4596

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NPI Details

HENDERSON PEDIATRICS, PSC is an adolescent medicine pediatrics in Henderson, 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. HENDERSON PEDIATRICS, PSC NPI is 1497088090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1035 N ELM ST
HENDERSON, KY
ZIP 42420-712
Phone: (270) 827-4596

The provider's authorized official is Kimberly K Rudd .
The authorized official title is Billing Specialist and has the following contact phone number (270) 827-4596.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

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 Medicine40961KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000625514OTHERKENTUCKYANTHEM
27100005530MEDICAIDKENTUCKY

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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