Kids First Pediatrics Of Raleigh, Pllc

LBN: Kids First Pediatrics Of Raleigh, Pllc
Kids First Pediatrics Of Raleigh, Pllc is an health care organization with primary practice located at 4109 Wake Forest Rd Ste 300 , Raleigh NC 27609-2508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kids First Pediatrics Of Raleigh, Pllc can be contacted via phone (919) 250-3478, or through Bullock, Selam via phone (919) 250-3478.

Contact Information

Primary practice address
4109 Wake Forest Rd Ste 300 Raleigh NC 27609-2508
Phone: (919) 250-3478
Fax: (919) 250-6272
Website:
Map and Directions
Authorized official contact:
Name: Bullock, Selam Doctor of Medicine (MD)
Phone: (919) 250-3478

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1700057486
LBN Legal business name Kids First Pediatrics Of Raleigh, Pllc
DBA Doing business as
Authorized official Bullock, Selam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2008
Last updated Apr 12th, 2024 - about 8 months 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 1700057486 NPPES
North Carolina MEDICAID 5913770

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