National Provider Identifier Database

KIDS CARE MEDICAL CENTER
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

KIDS CARE MEDICAL CENTER
6073 MT MORIAH RD EXT
SUITE 2
MEMPHIS, TN38115-2666
Phone: 901-365-2555
Fax: 901-365-2544
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for KIDS CARE MEDICAL CENTER

NPI Number 1346649894
Legal business name
LBN
KIDS CARE MEDICAL CENTER
Authorized official JAMES COWAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/21/2014
Last updated 08/21/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 21143
  • TN Medicaid: 3896594

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 KIDS CARE MEDICAL CENTER

There are currently no reviews for KIDS CARE MEDICAL CENTER


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