NPI 1689774994 · live from the CMS NPI Registry
All-Star Pediatrics Psc
Pediatrics, Adolescent Medicine in Louisville, KY. National Provider Identifier 1689774994, active.
NPI record
| NPI | 1689774994 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 6425 Bardstown Rd, Louisville, KY 40291 |
| Practice phone | 502-762-0498 |
| Enumerated | September 25, 2006 |
| Last updated | June 30, 2008 |
| Authorized official | Jean Gee, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | 37862 (KY) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 27333 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.