Pediatric Group Of Paducah

Pediatrics

Pediatric Group Of Paducah is a Paducah, Kentucky based Pediatric center with medical specialization in General Pediatrics. It is located at 2605 Kentucky Ave, Bldg 3 Suite 501, Paducah, Kentucky - 42003-3800. They can be contacted on phone at 270-443-7534.
NPI number (Unique professional ID) for Pediatric Group Of Paducah is 1346279510 which was assigned by NPPES on 01 Jul, 2006 and it was last updated on 05 Aug, 2013. Pediatric Group Of Paducah license number is 20596 for Pediatrics (208000000X) in Kentucky.
Pediatric Group Of Paducah 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:
Pediatric Group Of Paducah basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Pediatric Group Of Paducah
Business Address:
Pediatric Group Of Paducah 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 :2605 Kentucky Ave, Bldg 3 Suite 501
Paducah, KY, 42003-3800
United States
Phone Number :270-443-7534
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 : 1346279510
NPI Entity Type : Organization
First Enrolment Date : 01 Jul, 2006
Last Updated On : 05 Aug, 2013
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 :Danal Evans
Official Title or Position :PROVIDER ENROLLMENT SPECIALIST
Phone Number :270-744-9600
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 Pediatric Group Of Paducah are as mentioned. Primary taxonomy code for Pediatric Group Of Paducah is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
363LF0000XNurse Practitioner FamilyNo3007447KY
208000000XPediatricsNo28040KY
208000000XPediatricsNo30516KY
208000000XPediatricsNo22172KY
208000000XPediatricsNo43274KY
208000000XPediatricsYes20596KY
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Group Of Paducah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
65923377MEDICAIDKY
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 :Po Box 9150
Paducah, KY, 42002-9150
United States
Phone Number :270-744-9600
Fax Number :270-744-8642
Business Location:
Patients can refer following map for directions to Pediatric Group Of Paducah practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.