All-Star Pediatrics Psc
Pediatrics, Adolescent Medicine in Louisville, KY. Organization (NPI-2).
NPI number1689774994
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1689774994
- Entity type
- Organization (NPI-2)
- Legal business name
- All-Star Pediatrics Psc
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Jun 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 27333 | KY | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | 37862 | KY |
Practice location
6425 Bardstown RdLouisville, KY 40291-3040
Phone 502-762-0498 · Fax 502-762-0469
Mailing address
6425 Bardstown RdLouisville, KY 40291-3040
Phone 502-762-0498 · Fax 502-762-0469
Authorized official
Jean L Gee
Office Manager
5027620498
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