Healthcare For Kids & Teens, Pllc
Pediatrics
Healthcare For Kids & Teens, Pllc is a Lebanon, Kentucky based Pediatric center with medical specialization in
General Pediatrics.
It is located at
54 Miller Pike, Lebanon, Kentucky - 40033-9248. They can be contacted on phone at
270-692-9015 and fax number 270-692-9008.
NPI number (Unique professional ID) for Healthcare For Kids & Teens, Pllc is
1861993263 which was assigned by NPPES on 22 Feb, 2018 and it was last updated on 22 Feb, 2018.
Healthcare For Kids & Teens, Pllc license number is
3004368 for Pediatrics (208000000X) in Kentucky.
Healthcare For Kids & Teens, Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Healthcare For Kids & Teens, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Healthcare For Kids & Teens, Pllc |
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Business Address:
Healthcare For Kids & Teens, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 54 Miller Pike
Lebanon, KY, 40033-9248
United States |
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| Phone Number : | 270-692-9015 |
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| Fax Number : | 270-692-9008 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861993263 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Feb, 2018 |
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| Last Updated On : | 22 Feb, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jennifer Mullins |
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| Authorized Official Credential : | APRN |
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| Official Title or Position : | OWNER/PROVIDER |
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| Phone Number : | 270-692-9015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Healthcare For Kids & Teens, Pllc are as mentioned. Primary taxonomy code for Healthcare For Kids & Teens, Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 3004368 | KY |
| 208D00000X | General Practice | No | 3004368 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Healthcare For Kids & Teens, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 78013729 | MEDICAID | KY | |
| 3004368 | Other | KY | APRN LICENSE |
| 1942307079 | Other | KY | PROVIDER NPI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54 Miller Pike
Lebanon, KY, 40033-9248
United States |
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| Phone Number : | 270-692-9015 |
|---|
| Fax Number : | 270-692-9008 |
|---|
Business Location:
Patients can refer following map for directions to
Healthcare For Kids & Teens, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.