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NPI Code Detail

MEDICARE: PEDIATRIC PARTNERS OF NORTHERN KENTUCKY

MEDICARE: PEDIATRIC PARTNERS OF NORTHERN KENTUCKY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner
2208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336209865
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC PARTNERS OF NORTHERN KENTUCKY
Provider Business Mailing Address
First Line : 1945 HIGHLAND PIKE
Second Line : SUITE 1
City : FT WRIGHT
State : KY
Zip : 41017-8127
Country : US
Telephone Number : 859-331-4005
Fax Number :
Provider Business Practice Location Address
First Line : 1945 HIGHLAND PIKE
Second Line : SUITE 1
City : FT WRIGHT
State : KY
Zip : 41017-8127
Country : US
Telephone Number : 859-331-4005
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : REBECCA SPRAGUE
Credential :
Telephone Number : 859-331-4005
Provider Enumeration Date : 12/12/2006
Last Update Date : 02/07/2023

Similar Medicare Providers

1508845314 — DR. KELLY D BRUNSON M.D.
Practice Location Address:
1945 HIGHLAND PIKE , SUITE 1
FT WRIGHT, KY
41017-8127
Practice Phone: 859-331-4005
Practice Fax: 859-331-4606
1053390799 — DR. DARLA N CAHILL M.D.
Practice Location Address:
1945 HIGHLAND PIKE , SUITE 1
FT WRIGHT, KY
41017-8127
Practice Phone: 859-331-4005
Practice Fax: 859-331-4606
1720371255 — BRIDGET MARIE FRANCE MD
Practice Location Address:
1945 HIGHLAND PIKE , SUITE 1
FT WRIGHT, KY
41017-8127
Practice Phone: 859-331-4005
Practice Fax:
1922441427 — MARY KATHLEEN NELMS APRN
Practice Location Address:
1945 HIGHLAND PIKE , SUITE 1
FT WRIGHT, KY
41017-8127
Practice Phone: 859-331-4005
Practice Fax: 859-331-4606
1801216783 — ALLISON FERREE-CHAVEZ
Practice Location Address:
1945 HIGHLAND PIKE STE 1
FT WRIGHT, KY
41017-8127
Practice Phone: 859-331-4005
Practice Fax: 859-331-4606
1194352575 — PRISCILLA JOY TANG MD
Practice Location Address:
1945 HIGHLAND PIKE STE 1
FT WRIGHT, KY
41017-8127
Practice Phone: 859-331-4005
Practice Fax: 859-331-4606

Directions to “PEDIATRIC PARTNERS OF NORTHERN KENTUCKY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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