Organization · Type 2 NPI

Pediatric Partners of Northern Kentucky

Pediatric Nurse Practitioner · Fort Wright, KY

NPI number 1679270128 Active

Practice location

1945 Highland Pike Ste 1
Fort Wright, KY 41017-8127

Fax (859) 331-4606

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	None listed

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

NPI record

NPI: 1679270128
Entity type: Organization (Type 2)
Issued: Feb 14, 2023
Last updated: Feb 14, 2023
Status: Active
Subpart: Yes of Pediatric Partners of Northern Kentucky

Other names

Pediatric Partners of Nky Aprns · other name

Authorized official

Rebecca Sprague
Office Manager
(859) 331-4005

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679270128

Pediatric Partners of Northern Kentucky's National Provider Identifier is 1679270128, issued on Feb 14, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Wright, KY. The record was last updated on Feb 14, 2023.