Organization
PEDIATRIC AND NEONATAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE CARTER (MEDICAL BILLING)
(502) 647-5468
Entity
Organization
Contact information
Practice address
720 HOSPITAL DR, 2ND FLOOR, SHELBYVILLE, KY 40065-1685
(502) 647-5468
(502) 647-7134
Mailing address
720 HOSPITAL DR, 2ND FLOOR, SHELBYVILLE, KY 40065-1685
(502) 647-5468
(502) 647-7134
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
29789 AND 29596
KY
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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