Organization
MT. STERLING PEDIATRICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BROMAGEN FOUCH MD (OWNER)
(859) 498-5243
Entity
Organization
Contact information
Practice address
401 COMMERCE CIR, MT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Mailing address
401 COMMERCE CIR, MT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100738420
—
KY
Enumeration date
01/06/2021
Last updated
08/03/2023
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