Paintsville Pediatric Associates

LBN: Paintsville Pediatric Associates
Paintsville Pediatric Associates is an health care organization with primary practice located at 822 S Mayo Trl , Paintsville KY 41240-1384. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Paintsville Pediatric Associates can be contacted via phone (606) 789-5541, or through Khattab, Yassin via phone (606) 789-5541.

Contact Information

Primary practice address
822 S Mayo Trl Paintsville KY 41240-1384
Phone: (606) 789-5541
Fax: (606) 789-9445
Website:
Map and Directions
Authorized official contact:
Name: Khattab, Yassin Doctor of Medicine (MD)
Phone: (606) 789-5541

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1669523460
LBN Legal business name Paintsville Pediatric Associates
DBA Doing business as
Authorized official Khattab, Yassin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 25th, 2013 - about 11 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 1669523460 NPPES
Kentucky MEDICAID 31001019
Kentucky Other 000000203757

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