is a Pediatrics in Georgetown, Kentucky. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1982715504. The last update date is .
's current location address is 1162 Lexington Rd, Georgetown, Kentucky. You can contact this provider via phone number 5028636426. The mailing address for is 1162 Lexington Rd, Georgetown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1162 Lexington Rd, Georgetown, Kentucky |
| Phone Number | 5028636426 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1982715504 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1162 Lexington Rd |
|---|---|
| City | Georgetown |
| State | Kentucky (KY) |
| Post Code | 403249330 |
| Phone Number | 5028636426 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 33064 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65120 | KY | ANTHEM BLUE CROSS | |
| 5843767 | KY | AETNA | |
| 1200489 | KY | UNITED HEALTH CARE | |
| 64330640 | KY | -- | |
| 611215814 | KY | BLUEGRASS FAMILY HEALTH |
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