Putnam County Pediatrics, Plc
Pediatrics in Cookeville, TN. Organization (NPI-2).
NPI number1215054754
StatusActive
Last updated in NPPESNov 5, 2026
Details
- NPI
- 1215054754
- Entity type
- Organization (NPI-2)
- Legal business name
- Putnam County Pediatrics, Plc
- Organization subpart
- No
- Enumeration date
- Mar 22, 2007
- Certification date
- Nov 5, 2026
- Last updated
- Nov 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 261QR1300X | Clinic/Center, Rural Health | – | – |
Other names
- Kids Kare Pediatrics (Doing Business As)
Practice location
758 S Willow AveCookeville, TN 38501-3840
Phone 931-526-6173 · Fax 931-526-5084
Mailing address
758 S Willow AveCookeville, TN 38501-3840
Phone 931-526-6173 · Fax 931-526-5084
Authorized official
Chrystal Giles
Compliance Office
7272399711
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- Victoria Ann Maiden, DONPI 1831777150
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All 10 Pediatrics Physician providers in Cookeville · All 2,123 providers in Cookeville
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