National Provider Identifier Database

KIDZCARE PEDIATRICS PLLC
Rural Health


Contact Information

KIDZCARE PEDIATRICS, PLLC
4233 HIGHWAY 411
SUITE B
MADISONVILLE, TN37354-1571
Phone: 423-745-7500
Fax: 423-745-7501
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for KIDZCARE PEDIATRICS, PLLC

NPI Number 1215471198
Legal business name
LBN
KIDZCARE PEDIATRICS, PLLC
Authorized official SAJI GOPINATHAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/12/2016
Last updated 12/12/2016 - About 9 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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