Organization
PEDIATRICS OF BULLITT COUNTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY MILES LEWIS MD (MANAGING PARTNER)
(502) 538-5090
Entity
Organization
Contact information
Practice address
1707 CEDAR GROVE RD STE 20, SHEPHERDSVILLE, KY 40165-8592
(502) 215-5090
(502) 215-5095
Mailing address
327 EASTBROOKE POINTE DR STE 200, MOUNT WASHINGTON, KY 40047-5577
(502) 538-5090
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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