Organization
CORNER PEDIATRICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA GREEN MD (PRESIDENT)
(859) 600-1999
Entity
Organization
Contact information
Practice address
2505 LARKIN RD STE 103, LEXINGTON, KY 40503-3256
(859) 600-1999
(859) 600-1998
Mailing address
2505 LARKIN RD STE 103, LEXINGTON, KY 40503-3256
(859) 600-1999
(859) 600-1998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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