# KIDZCARE PEDIATRICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kidzcare Pediatrics Madisonville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215471198
- **Authorized official:** SAJI KOTTAPPURA GOPINATHAN M.D. (PRESIDENT)
- **Authorized official phone:** (423) 745-7500

## Contact information

- **Practice address:** 4233 HIGHWAY 411, SUITE B, MADISONVILLE, TN 37354-1571
- **Practice address phone:** (423) 745-7500
- **Practice address fax:** (423) 745-7501
- **Mailing address:** PO BOX 925, ATHENS, TN 37371-0925
- **Mailing address phone:** (423) 745-7500
- **Mailing address fax:** (423) 745-7501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 12/12/2016