HEALTHCARE FOR KIDS & TEENS PLLC NPI 1861993263

NPI Information

  • NPI: 1861993263
  • Provider Name: HEALTHCARE FOR KIDS & TEENS, PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 18D2136788
  • Address: 54 MILLER PIKE
    LEBANON, KY
    ZIP 40033
  • Phone: (270) 692-9015

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NPI Details

HEALTHCARE FOR KIDS & TEENS, PLLC is a pediatrics in Lebanon, KY. 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. HEALTHCARE FOR KIDS & TEENS, PLLC NPI is 1861993263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

54 MILLER PIKE
LEBANON, KY
ZIP 40033-248
Phone: (270) 692-9015
Fax: (270) 692-9008

The provider's authorized official is Jennifer Mullins .
The authorized official title is Owner/provider and has the following contact phone number (270) 692-9015.

The CLIA number assigned to this NPI record is 18D2136788 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics3004368KENTUCKYYes
2208D00000XGeneral Practice3004368KENTUCKYNo

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
178013729MEDICAIDKENTUCKY
23004368OTHERKENTUCKYAPRN LICENSE
31942307079OTHERKENTUCKYPROVIDER NPI

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: 3/30/2025

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