Kids Care Pediatrics Pa

LBN: Kids Care Pediatrics Pa
Kids Care Pediatrics Pa is an health care organization with primary practice located at 101 Kellie Dr , Smithfield NC 27577-9443. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Kids Care Pediatrics Pa can be contacted via phone (919) 938-3749, or through Bliss, Pennie S via phone (919) 938-3749.

Contact Information

Primary practice address
101 Kellie Dr Smithfield NC 27577-9443
Phone: (919) 938-3749
Fax: (919) 938-3795
Website:
Map and Directions
Authorized official contact:
Name: Bliss, Pennie S Doctor of Medicine (MD)
Phone: (919) 938-3749

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 147337 North Carolina

Profile Details

NPI number 1487612628
LBN Legal business name Kids Care Pediatrics Pa
DBA Doing business as
Authorized official Bliss, Pennie S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Nov 17th, 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 1487612628 NPPES
North Carolina MEDICAID 8902042

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