Parkway Pediatrics Psc

LBN: Parkway Pediatrics Psc
Parkway Pediatrics Psc is an health care organization with primary practice located at 809 Meyers Baker Rd Suite 1, London KY 40741-3025. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Parkway Pediatrics Psc can be contacted via phone (606) 864-7337, or through Moodumane, Indira via phone (606) 864-7337.

Contact Information

Primary practice address
809 Meyers Baker Rd Suite 1 London KY 40741-3025
Phone: (606) 864-7337
Fax: (606) 878-3257
Website:
Map and Directions
Authorized official contact:
Name: Moodumane, Indira Doctor of Medicine (MD)
Phone: (606) 864-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36054 Kentucky

Profile Details

NPI number 1003875709
LBN Legal business name Parkway Pediatrics Psc
DBA Doing business as
Authorized official Moodumane, Indira Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Jun 24th, 2009 - about 17 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 1003875709 NPPES
Kentucky MEDICAID 65942187

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