Smoketown Family Wellness Center Corp
Pediatrics
Smoketown Family Wellness Center Corp is a Louisville, Kentucky based Pediatric center with medical specialization in
General Pediatrics. Smoketown Family Wellness Center Corp is doing business as
Smoketown Family Wellness Center.
It is located at
760 S Hancock St Apt B100, Louisville, Kentucky - 40203-2449. They can be contacted on phone at
502-242-7458.
NPI number (Unique professional ID) for Smoketown Family Wellness Center Corp is
1184145815 which was assigned by NPPES on 03 Jul, 2017 and it was last updated on 09 Jan, 2020.
Smoketown Family Wellness Center Corp 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:
Smoketown Family Wellness Center Corp basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Smoketown Family Wellness Center Corp |
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| Other Name : | Smoketown Family Wellness Center |
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Business Address:
Smoketown Family Wellness Center Corp 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 : | 760 S Hancock St Apt B100
Louisville, KY, 40203-2449
United States |
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| Phone Number : | 502-242-7458 |
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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 : | 1184145815 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Jul, 2017 |
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| Last Updated On : | 09 Jan, 2020 |
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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 : | Charlottegay Stites |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PHYSICIAN OWNER |
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| Phone Number : | 502-242-7458 |
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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 Smoketown Family Wellness Center Corp are as mentioned. Primary taxonomy code for Smoketown Family Wellness Center Corp is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | | |
| 363A00000X | Physician Assistant | No | | |
| 363L00000X | Nurse Practitioner | No | | |
| 363LP0200X | Nurse Practitioner Pediatrics | No | | |
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 : | 760 S Hancock St Apt B100
Louisville, KY, 40203-2449
United States |
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| Phone Number : | 502-242-7458 |
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| Fax Number : | 502-219-3673 |
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Business Location:
Patients can refer following map for directions to
Smoketown Family Wellness Center Corp practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.