Henderson Pediatrics, Psc
Pediatric Adolescent Medicine
Henderson Pediatrics, Psc is a Henderson, Kentucky based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1035 N Elm St, Henderson, Kentucky - 42420-2712. They can be contacted on phone at
270-827-4596.
NPI number (Unique professional ID) for Henderson Pediatrics, Psc is
1497088090 which was assigned by NPPES on 14 Sep, 2009 and it was last updated on 14 Sep, 2009.
Henderson Pediatrics, Psc license number is
40961 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Henderson Pediatrics, Psc 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.
Complete Profile:
Henderson Pediatrics, Psc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Henderson Pediatrics, Psc |
|---|
Business Address:
Henderson Pediatrics, Psc 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 : | 1035 N Elm St
Henderson, KY, 42420-2712
United States |
|---|
| Phone Number : | 270-827-4596 |
|---|
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 : | 1497088090 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Sep, 2009 |
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| Last Updated On : | 14 Sep, 2009 |
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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 : | Kimberlyk Rudd |
|---|
| Official Title or Position : | BILLING SPECIALIST |
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| Phone Number : | 270-827-4596 |
|---|
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 Henderson Pediatrics, Psc are as mentioned. Primary taxonomy code for Henderson Pediatrics, Psc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 40961 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Henderson Pediatrics, Psc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100005530 | MEDICAID | KY | |
| 000000625514 | Other | KY | ANTHEM |
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 : | 1035 N Elm St
Henderson, KY, 42420-2712
United States |
|---|
| Phone Number : | 270-827-4596 |
|---|
Business Location:
Patients can refer following map for directions to
Henderson Pediatrics, Psc 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.