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Pediatric & Adolescent Associates

Pediatrics in Lexington, KY. Organization (NPI-2).

NPI number1265656136
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1265656136
Entity type
Organization (NPI-2)
Legal business name
Pediatric & Adolescent Associates
Organization subpart
No
Enumeration date
Apr 12, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

171 N Eagle Creek Dr
Lexington, KY 40509-1801

Phone 859-977-3044 · Fax 859-977-0237

Mailing address

3050 Harrodsburg Rd
Lexington, KY 40503-2747

Phone 859-977-3044 · Fax 859-977-0237

Authorized official

Martina Lane Padilla
Administrative Assistant
8599773044

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