# SUNSHINE PEDIATRICS OF LOUISVILLE LLC

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

## Provider details

- **NPI number:** 1437539145
- **Authorized official:** CARLA F BRANCH (BILLING OFFICE MANAGER)
- **Authorized official phone:** (606) 789-5541

## Contact information

- **Practice address:** 822 S MAYO TRL, PAINTSVILLE, KY 41240-1384
- **Practice address phone:** (606) 789-5541
- **Practice address fax:** (606) 789-9445
- **Mailing address:** 191 MASJID AVE, PRESTONSBURG, KY 41653-8634
- **Mailing address phone:** (606) 789-5541
- **Mailing address fax:** (606) 789-9445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 07/21/2022