Eastern Kentucky Tender Care Pediatrics Llc

LBN: Eastern Kentucky Tender Care Pediatrics Llc
Eastern Kentucky Tender Care Pediatrics Llc is an health care organization with primary practice located at 400 University Dr Ste 101 , Prestonsburg KY 41653-1080. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Eastern Kentucky Tender Care Pediatrics Llc can be contacted via phone (606) 886-1173, or through Hana, Antoin via phone (606) 886-1173.

Contact Information

Primary practice address
400 University Dr Ste 101 Prestonsburg KY 41653-1080
Fax: (606) 886-2193
Website:
Authorized official contact:
Name: Hana, Antoin Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1043437254
LBN Legal business name Eastern Kentucky Tender Care Pediatrics Llc
DBA Doing business as
Authorized official Hana, Antoin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Feb 24th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043437254 NPPES
Kentucky MEDICAID 7100006320

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