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KIDZCARE PEDIATRICS PC NPI 1972015097


NPI Information

NPI: 1972015097
Provider Name: KIDZCARE PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2142887

Address:
112 MEDICAL VILLAGE DR STE D
WALLACE, NC
ZIP 28466
Phone: (910) 665-1437
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KIDZCARE PEDIATRICS, PC is a pediatrics in Wallace, NC. 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. KIDZCARE PEDIATRICS, PC NPI is 1972015097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

112 MEDICAL VILLAGE DR STE D
WALLACE, NC
ZIP 28466-665
Phone: (910) 665-1437
Fax: (910) 665-1315

The provider's authorized official is Shantae Renee Lockhart .
The authorized official title is Credentialing Specialist and has the following contact phone number (910) 483-7337.

The CLIA number assigned to this NPI record is 34D2142887 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.


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
1208000000XPediatricsYes

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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