Organization · Type 2 NPI

All-Star Pediatrics PSC

Pediatric Adolescent Medicine Physician · Louisville, KY

NPI number 1689774994 Active

Practice location

6425 Bardstown Rd
Louisville, KY 40291-3040

Call (502) 762-0498 Map

Fax (502) 762-0469

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X27333 (KY)
Pediatric Adolescent Medicine Physician 2080A0000X37862 (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.

3 other providers at this address

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About NPI 1689774994

All-Star Pediatrics PSC's National Provider Identifier is 1689774994, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Louisville, KY. The record was last updated on Jun 30, 2008.