National Provider Identifier Database

KIDZCARE PEDIATRICS PC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

KIDZCARE PEDIATRICS, PC
3115 BORDEAUX PARK DR
FAYETTEVILLE, NC28306
Phone: 910-307-7337
Fax: 910-323-4620
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for KIDZCARE PEDIATRICS, PC

NPI Number 1548495914
Legal business name
LBN
KIDZCARE PEDIATRICS, PC
Authorized official SHANTAE LOCKHART - (CREDENTIALS SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 05/28/2009
Last updated 08/27/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5908525
  • NC Other: 016VR BCBS

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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