Organization
ONE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA NUNES-VAIS (CMS)
(502) 292-8973
Entity
Organization
Contact information
Practice address
6425 BARDSTOWN RD, LOUISVILLE, KY 40291-3040
(502) 762-0498
(502) 762-0469
Mailing address
PO BOX 950293, LOUISVILLE, KY 40295-0293
(502) 292-8973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/16/2013
Last updated
06/28/2023
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