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Contact Information

PERRY KIDS PEDIATRICS
210 HOSPITAL LN
PERRYVILLE, MO63775-1276
 Phone: 573-517-0999
 Fax: 573-517-0812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Toxicology

2080T0002X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PERRY KIDS PEDIATRICS

NPI # 1417123761
LBN Legal business name PERRY KIDS PEDIATRICS
Authorized official BHARGAV KANANI - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2008
Last updated 05/07/2008 - About 18 years ago
Identifiers
MO License # MO105937
MO Medicaid 599297306
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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