Organization
MT. STERLING PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY B FOUCH M.D. (OWNER)
(859) 498-5243
Entity
Organization
Contact information
Practice address
401 COMMERCE CIRCLE, MT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Mailing address
401 COMMERCE CIRCLE, MT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
39940
KY
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
5332P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100198270
—
KY
Enumeration date
01/23/2009
Last updated
10/14/2020
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