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Organization
KID CARE, PSC
Active
Organization
KID CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MCDOWELL (OFFICE MANAGER)
(606) 759-5437
Entity
Organization
Contact information
Practice address
991 MEDICAL PARK DR STE 107, MAYSVILLE, KY 41056-8766
(606) 759-5437
(606) 759-9267
Mailing address
991 MEDICAL PARK DR STE 107, MAYSVILLE, KY 41056-8766
(606) 759-5437
(606) 759-9267
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65900797
—
KY
Enumeration date
09/20/2006
Last updated
08/22/2020
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