Organization · Type 2 NPI

Pediatric and Neonatal Practice

Pediatric Adolescent Medicine Physician · Shelbyville, KY

NPI number 1225198294 Active

Practice location

720 Hospital Dr, 2nd Floor
Shelbyville, KY 40065-1685

Call (502) 647-5468 Map

Fax (502) 647-7134

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X29789 AND 29596 (KY)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4 other providers at this address

About NPI 1225198294

Pediatric and Neonatal Practice's National Provider Identifier is 1225198294, issued on Dec 11, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Shelbyville, KY. The record was last updated on Aug 22, 2020.