Healthcare Provider Details

I. General information

NPI: 1699396507
Provider Name (Legal Business Name): KAPLAN BARRON PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BARDSTOWN RD
LOUISVILLE KY
40218-4613
US

IV. Provider business mailing address

3333 BARDSTOWN RD
LOUISVILLE KY
40218-4613
US

V. Phone/Fax

Practice location:
  • Phone: 502-452-6337
  • Fax: 502-458-5327
Mailing address:
  • Phone: 502-452-6337
  • Fax: 502-458-5327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAREN J ABRAMS
Title or Position: PARTNER
Credential: MD
Phone: 502-452-6337