KIDZCARE PEDIATRICS, PLLC; NPI #1679805493

Contact Information

KIDZCARE PEDIATRICS, PLLC

119 EPPERSON ST
ATHENS, TN 37303-3478

Phone: 423-745-7500
Fax: 423-745-7501
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for KIDZCARE PEDIATRICS, PLLC

NPI Number 1679805493

LBN Legal business name KIDZCARE PEDIATRICS, PLLC

Authorized official SAJI GOPINATHAN - (OWNER/PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/03/2010

Last updated 01/11/2011 - About 15 years ago

Identifiers

License #

MD0000034697

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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KIDZCARE PEDIATRICS, PLLC

Contact Information

Specialty

Rural Health

NPI Profile & details for KIDZCARE PEDIATRICS, PLLC

Reviews for KIDZCARE PEDIATRICS, PLLC