KIDS CARE MEDICAL CENTER; NPI #1346649894

Contact Information

KIDS CARE MEDICAL CENTER

6073 MT MORIAH RD EXT
SUITE 2
MEMPHIS, TN 38115-2666

Phone: 901-365-2555
Fax: 901-365-2544
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for KIDS CARE MEDICAL CENTER

NPI Number 1346649894

LBN Legal business name KIDS CARE MEDICAL CENTER

Authorized official JAMES COWAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/21/2014

Last updated 08/21/2014 - About 12 years ago

Identifiers

TN	License #	21143
TN	Medicaid	3896594

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KIDS CARE MEDICAL CENTER

Contact Information

Specialty

Adolescent Medicine

NPI Profile & details for KIDS CARE MEDICAL CENTER

Reviews for KIDS CARE MEDICAL CENTER