MEDICARE: PEDIATRICS OF BULLITT COUNTY PLLC

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
1	363L00000X	Nurse Practitioner
2	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1730326109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRICS OF BULLITT COUNTY PLLC

Provider Business Mailing Address
First Line	:	1707 CEDAR GROVE RD
Second Line	:	SUITE 20
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8572
Country	:	US
Telephone Number	:	502-215-5090
Fax Number	:	502-215-2095

Provider Business Practice Location Address
First Line	:	1707 CEDAR GROVE RD
Second Line	:	SUITE 20
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8572
Country	:	US
Telephone Number	:	502-215-5090
Fax Number	:	502-215-2095

Authorized Official
Title or Position	:	OWNER
Name	:	CASEY M LEWIS
Credential	:	MD
Telephone Number	:	502-215-5090

Provider Enumeration Date	:	01/07/2009
Last Update Date	:	10/26/2017

Similar Medicare Providers

1114856200 — REBEKAH WELCH
Practice Location Address:

1707 CEDAR GROVE RD
SHEPHERDSVILLE, KY
40165-8572

Practice Phone: 502-203-1354
Practice Fax:

1619993466 — SARAH RENEE HART M.D.
Practice Location Address:

1707 CEDAR GROVE RD , 20
SHEPHERDSVILLE, KY
40165-8572

Practice Phone: 502-215-5090
Practice Fax:

1891811758 — STACEY L. POEHNER N.P.
Practice Location Address:

1707 CEDAR GROVE RD , SUITE 20
SHEPHERDSVILLE, KY
40165-8572

Practice Phone: 502-215-2090
Practice Fax: 502-215-5095

1508195298 — WENDY KAY MCCARTY APRN
Practice Location Address:

1707 CEDAR GROVE RD STE 15
SHEPHERDSVILLE, KY
40165-8572

Practice Phone: 502-543-3246
Practice Fax: 502-543-3251

1821378969 — TINA L KREUTZER O.D.
Practice Location Address:

1707 CEDAR GROVE RD STE 3
SHEPHERDSVILLE, KY
40165-8572

Practice Phone: 502-543-1624
Practice Fax: 502-543-1627

1760748453 — ASSOCIATES IN PEDIATRIC THERAPY, LLC
Practice Location Address:

1707 CEDAR GROVE RD STE 17
SHEPHERDSVILLE, KY
40165-8572

Practice Phone: 502-633-1007
Practice Fax: 502-805-1511

Directions to “PEDIATRICS OF BULLITT COUNTY PLLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.