PEDIATRIC PARTNERS OF WESTERN KENTUCKY NPI 1689919862

NPI Information

NPI: 1689919862
Provider Name: PEDIATRIC PARTNERS OF WESTERN KENTUCKY
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1102 TRIPLETT ST
STE. 1000
OWENSBORO, KY
ZIP 42303
Phone: (270) 926-8842
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PEDIATRIC PARTNERS OF WESTERN KENTUCKY is a medical physician assistant in Owensboro, KY. PEDIATRIC PARTNERS OF WESTERN KENTUCKY NPI is 1689919862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1102 TRIPLETT ST
STE. 1000
OWENSBORO, KY
ZIP 42303-104
Phone: (270) 926-8842
Fax: (270) 926-0760

The provider's authorized official is Bonnie M Castlen .
The authorized official title is Office Manager and has the following contact phone number (270) 926-8842.

The enumeration date for this NPI number is 11/29/2012 and was last updated on 11/29/2012.

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
1	363AM0700X	Physician Assistant	Medical			Yes

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

NPI Synchronization or Removal

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