Henderson Pediatrics, Psc

LBN: Henderson Pediatrics, Psc
Henderson Pediatrics, Psc is an health care organization with primary practice located at 1035 N Elm St , Henderson KY 42420-2712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Henderson Pediatrics, Psc can be contacted via phone (270) 827-4596, or through Rudd, Kimberly K via phone (270) 827-4596.

Contact Information

Primary practice address
1035 N Elm St Henderson KY 42420-2712
Phone: (270) 827-4596
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rudd, Kimberly K
Phone: (270) 827-4596

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 40961 Kentucky

Profile Details

NPI number 1497088090
LBN Legal business name Henderson Pediatrics, Psc
DBA Doing business as
Authorized official Rudd, Kimberly K
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 16 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 1497088090 NPPES
Kentucky MEDICAID 7100005530
Kentucky Other 000000625514

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