Organization · Type 2 NPI

Pediatric Gastroenterology PSC

Clinic/Center · Louisville, KY

NPI number 1164455952 Active

Practice location

233 E Gray St, Suite 513
Louisville, KY 40202-2026

Call (502) 629-5796 Map

Fax (502) 629-5799

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X0424168 (KY)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

13 other providers at this address

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About NPI 1164455952

Pediatric Gastroenterology PSC's National Provider Identifier is 1164455952, issued on Jul 8, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Louisville, KY. The record was last updated on May 19, 2022.