National Provider Identifier Database

MIDDLETOWN PEDIATRICS
Adolescent Medicine

A pediatrician who 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.


Contact Information

MIDDLETOWN PEDIATRICS
301 C MIDDLETOWN PARK PLACE
LOUISVILLE, KY40243
Phone: 502-244-9858
Fax: 502-244-9575
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for MIDDLETOWN PEDIATRICS

NPI Number 1164645834
Legal business name
LBN
MIDDLETOWN PEDIATRICS
Authorized official DANA DISTLER - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/11/2007
Last updated 03/12/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 28883
  • KY License #: 38964
  • KY License #: 39163

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.

Reviews for MIDDLETOWN PEDIATRICS

There are currently no reviews for MIDDLETOWN PEDIATRICS


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