Leticia Bravo is a Pediatrics in Glasgow, Kentucky. Leticia Bravo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Leticia Bravo is 1164565180. The last update date is 2007-07-08.
Leticia Bravo's current location address is 1411 N Race St, Glasgow, Kentucky. You can contact this provider via phone number 2706519755 and fax number 2706517562. The mailing address for Leticia Bravo is 1411 N Race St, Glasgow, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leticia Bravo |
|---|---|
| Address | 1411 N Race St, Glasgow, Kentucky |
| Phone Number | 2706519755 |
| Fax Number | 2706517562 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164565180 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1411 N Race St |
|---|---|
| City | Glasgow |
| State | Kentucky (KY) |
| Post Code | 421413474 |
| Phone Number | 2706519755 |
| Fax Number | 2706517562 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 171002 |
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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 |
|---|---|---|---|
| 64171002 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leticia Bravo by the Centers for Medicare & Medicaid Services?
The Leticia Bravo has been issued the NPI (National Provider Identifier) 1164565180 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Leticia Bravo's physical address?
The Leticia Bravo is physically located at 1411 N Race St, in the city of Glasgow, KY, with the postal code 421413474.
What is the Leticia Bravo's specialty and taxonomy code?
The Leticia Bravo's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164565180 to Leticia Bravo?
The Centers for Medicare & Medicaid Services assigned the 1164565180 to Leticia Bravo on 2007-02-15.
As of what date were the details related to Leticia Bravo most recently updated or revised?
The information pertaining to Leticia Bravo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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