Organization
RADCLIFF PEDIATRICS ,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HY K NGUYEN MD (MD)
(270) 351-1850
Entity
Organization
Contact information
Practice address
750 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160
(270) 351-1850
(270) 351-1855
Mailing address
750 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160
(270) 351-1850
(270) 351-1855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24932
KY
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64249329
—
KY
Enumeration date
03/13/2007
Last updated
12/15/2011
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