Organization
MEADE COUNTY PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L. KUPPER (OWNER)
(270) 422-3400
Entity
Organization
Contact information
Practice address
1010 LAWRENCE STREET, BRANDENBURG, KY 40108-1401
(270) 422-3400
Mailing address
1010 LAWRENCE STREET, BRANDENBURG, KY 40108-1401
(270) 422-3400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/20/2009
Last updated
06/14/2022
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