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>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1134233281

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 606-573-4520  Fax: 606-574-8457

Contact information for business:
Tel: 606-573-4520  Fax: 606-574-8457

Registration Information:
NPI: 1134233281
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians

Legacy codes, insurance codes and state license numbers:



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