Organization
PEDIATRIC SPECIALTY CLINIC, LLC.
Active
Other names
Pediatric Care of Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN S GILES (CEO/MEMBER)
(859) 219-2828
Entity
Organization
Contact information
Practice address
2647 REGENCY RD, LEXINGTON, KY 40503-2959
(859) 276-1088
(859) 276-1096
Mailing address
1031 WELLINGTON WAY, SUITE 245, LEXINGTON, KY 40513-1258
(859) 278-8772
(859) 303-8852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/07/2011
Last updated
03/12/2015
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