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PEDIATRIC PARTNERS OF NORTHERN KENTUCKY NPI 1336209865


NPI Information

NPI: 1336209865
Provider Name: PEDIATRIC PARTNERS OF NORTHERN KENTUCKY
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 18D1044340

Address:
1945 HIGHLAND PIKE
SUITE 1
FT WRIGHT, KY
ZIP 41017
Phone: (859) 331-4005
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PEDIATRIC PARTNERS OF NORTHERN KENTUCKY is a pediatrics in Ft Wright, KY. The provider is 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC PARTNERS OF NORTHERN KENTUCKY NPI is 1336209865. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1945 HIGHLAND PIKE
SUITE 1
FT WRIGHT, KY
ZIP 41017-127
Phone: (859) 331-4005

The provider's authorized official is Rebecca Sprague .
The authorized official title is Office Manager and has the following contact phone number (859) 331-4005.

The CLIA number assigned to this NPI record is 18D1044340 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 2/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
165943961MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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