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Contact Information

PHYSICIANS FOR CHILDREN & ADOLESCENTS PSC
1330 SOUTH MAYO TRAIL, SUITE 201
PIKEVILLE, KY41501
 Phone: 606-432-0123
 Fax: 606-433-1414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PHYSICIANS FOR CHILDREN ADOLESCENTS PSC · (Female)

NPI # 1225145444
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2006
Last updated 08/14/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 65917957
  • KY Medicaid 7100405970
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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