# PEDIATRIC PARTNERS OF WESTERN KY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174773188
- **Authorized official:** DR. JOHN T HOUSTON MD (OWNER)
- **Authorized official phone:** (270) 926-8828

## Contact information

- **Practice address:** 1102 TRIPLETT ST, STE 1000, OWENSBORO, KY 42303-3104
- **Practice address phone:** (270) 926-8828
- **Practice address fax:** (270) 926-0760
- **Mailing address:** 1102 TRIPLETT ST, STE 1000, OWENSBORO, KY 42303-3104
- **Mailing address phone:** (270) 926-8828
- **Mailing address fax:** (270) 926-0760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 21411 | KY | Yes |
| 173000000X | Legal Medicine | 40582 | KY | — |
| 173000000X | Legal Medicine | 42304 | KY | — |
| 363AM0700X | Medical Physician Assistant | PA787 | KY | — |
| 363L00000X | Nurse Practitioner | 3007096 | KY | — |

## Other

- **Enumeration date:** 09/26/2008
- **Last updated:** 05/24/2012