Organization
CHILDREN'S CARE, PLLC
Active
Other names
Children's Clinic Annex
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN ONG MD (OWNER)
(606) 723-5142
Entity
Organization
Contact information
Practice address
62 MERCY COURT, IRVINE, KY 40336-1142
(606) 723-5142
(606) 723-3798
Mailing address
223 RIVER DR, PO BOX 908, IRVINE, KY 40336-1142
(606) 723-5142
(606) 723-3798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35001833
—
KY
Enumeration date
10/11/2006
Last updated
02/10/2011
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