Organization · Type 2 NPI

Eastern Kentucky Tender Care Pediatrics LLC

Rural Health Clinic/Center · Prestonsburg, KY

NPI number 1043437254 Active

Practice location

400 University Dr Ste 101
Prestonsburg, KY 41653-1080

Fax (606) 886-2193

Mailing address

PO Box 697
Prestonsburg, KY 41653-0697

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1043437254

Eastern Kentucky Tender Care Pediatrics LLC's National Provider Identifier is 1043437254, issued on Apr 19, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Prestonsburg, KY. The record was last updated on Feb 24, 2021.