NPI 1245817279 · live from the CMS NPI Registry
Kaitlin Brooke Firquin, DO
Pediatrics in Louisville, KY. National Provider Identifier 1245817279, active.
NPI record
| NPI | 1245817279 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 231 E Chestnut St, Louisville, KY 40202 |
| Practice phone | 502-629-6000 |
| Mailing address | Po Box 776879, Chicago, IL 60677 |
| Enumerated | March 25, 2021 |
| Last updated | September 25, 2024 |
| Sole proprietor | No |
| Other names | Kaitlin Mardis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 05761 (KY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Pediatrics primary | 208000000X | 05761 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.