Organization
PEDIATRIC CARE OF KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANEEN M DEDDEN (BUSINESS MANAGER)
(859) 341-7500
Entity
Organization
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 102, EDGEWOOD, KY 41017-5401
(859) 341-1011
Mailing address
20 MEDICAL VILLAGE DR, STE 102, EDGEWOOD, KY 41017-5401
(859) 341-1011
(859) 341-7198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/14/2006
Last updated
08/22/2020
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