SOUTHERN INDIANA PEDIATRICS P.S.C. NPI 1811043854

NPI Information

  • NPI: 1811043854
  • Provider Name: SOUTHERN INDIANA PEDIATRICS P.S.C.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 15D0359372
  • Address: 1701 SPRING ST
    SUITE A.
    JEFFERSONVILLE, IN
    ZIP 47130
  • Phone: (812) 282-1367

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NPI Details

SOUTHERN INDIANA PEDIATRICS P.S.C. is a pediatrics in Jeffersonville, IN. 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. SOUTHERN INDIANA PEDIATRICS P.S.C. NPI is 1811043854. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 SPRING ST
SUITE A.
JEFFERSONVILLE, IN
ZIP 47130-930
Phone: (812) 282-1367
Fax: (812) 284-8377

The provider's authorized official is Lynn R Gulley .
The authorized official title is President and has the following contact phone number (812) 282-1367.

The CLIA number assigned to this NPI record is 15D0359372 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/25/2007 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
1208000000XPediatrics50002306AINDIANAYes

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This page was last updated on: 11/21/2025

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