Professional Pediatrics, Psc in Russell - Pediatrics
Professional Pediatrics, Psc - NPI 1083819304
Professional Pediatrics, Psc is a Pediatrics in Russell, Kentucky. Professional Pediatrics, Psc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Professional Pediatrics, Psc is 1083819304. The last update date is 2012-08-06.
Professional Pediatrics, Psc's current location address is 105 Thompson Rd, Russell, Kentucky. You can contact this provider via phone number 6068338480. The mailing address for Professional Pediatrics, Psc is 105 Thompson Rd, Russell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Pediatrics, Psc |
|---|---|
| Address | 105 Thompson Rd, Russell, Kentucky |
| Phone Number | 6068338480 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lichtenberger M. Susan |
| Credentials | MD |
| Telephone Number | 6068338480 |
NPI Number Detail
| NPI Number | 1083819304 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2012-08-06 |
Provider Mailing Address Detail
| Address | 105 Thompson Rd |
|---|---|
| City | Russell |
| State | Kentucky (KY) |
| Post Code | 411691645 |
| Phone Number | 6068338480 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64296262 | KY | -- | |
| 918645 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Professional Pediatrics, Psc by the Centers for Medicare & Medicaid Services?
The Professional Pediatrics, Psc has been issued the NPI (National Provider Identifier) 1083819304 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Professional Pediatrics, Psc?
The Professional Pediatrics, Psc is physically situated at 105 Thompson Rd, in the city of Russell, state of KY, with the postal code 411691645.
What is Professional Pediatrics, Psc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Professional Pediatrics, Psc's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083819304 to Professional Pediatrics, Psc?
The Centers for Medicare & Medicaid Services originally issued the 1083819304 to Professional Pediatrics, Psc on 2007-06-18.
When was the information regarding Professional Pediatrics, Psc most recently updated?
The details pertaining to the Professional Pediatrics, Psc, including its address, specialty, and other relevant information, were last refreshed on 2012-08-06.