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Organization

HENDERSON PEDIATRICS, PSC

Active
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Organization

HENDERSON PEDIATRICS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY K RUDD (BILLING SPECIALIST)
(270) 827-4596
Entity
Organization

Contact information

Practice address
1035 N ELM ST, HENDERSON, KY 42420-2712
(270) 827-4596
Mailing address
1035 N ELM ST, HENDERSON, KY 42420-2712
(270) 827-4596

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
40961
KY

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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