National Provider Identifier Database

LOUISVILLE PEDIATRIC SPECIALISTSPSC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

LOUISVILLE PEDIATRIC SPECIALISTS,PSC
6801 DIXIE HWY
SUITE127
LOUISVILLE, KY40258-3913
Phone: 502-935-5633
Fax: 502-935-5706
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LOUISVILLE PEDIATRIC SPECIALISTS,PSC

NPI Number 1285617886
Legal business name
LBN
LOUISVILLE PEDIATRIC SPECIALISTS,PSC
Authorized official TRUDI RASH - (SECRETARY/OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/29/2005
Last updated 05/12/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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