Organization
KIDS R GREAT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI WRIGHT (BILLING MGR)
(812) 949-1616
Entity
Organization
Contact information
Practice address
223 W SPRING ST, NEW ALBANY, IN 47150-3612
(812) 949-1616
(812) 945-8365
Mailing address
223 W SPRING ST, NEW ALBANY, IN 47150-3612
(812) 949-1616
(812) 945-8365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01035086
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01035086
LICENSE
IN
01
—
01057376
LICENSE
IN
Enumeration date
03/01/2007
Last updated
08/22/2020
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