Organization
QUALITY CARE FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STIVERS (PRESIDENT)
(502) 226-3937
Entity
Organization
Contact information
Practice address
100 DIAGNOSTIC DR, FRANKFORT, KY 40601
(502) 226-3937
Mailing address
100 DIAGNOSTIC DR, FRANKFORT, KY 40601
(502) 226-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
00001064
AL
207W00000X
Ophthalmology Physician
Primary
14531
KY
207W00000X
Ophthalmology Physician
38681
KY
208000000X
Pediatrics Physician
00021495
AL
208000000X
Pediatrics Physician
39146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529916740
—
AL
05
—
65904914
—
KY
Enumeration date
11/24/2006
Last updated
09/28/2011
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