Organization
ALL-STAR PEDIATRICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN L GEE (OFFICE MANAGER)
(502) 762-0498
Entity
Organization
Contact information
Practice address
6425 BARDSTOWN RD, LOUISVILLE, KY 40291-3040
(502) 762-0498
(502) 762-0469
Mailing address
6425 BARDSTOWN RD, LOUISVILLE, KY 40291-3040
(502) 762-0498
(502) 762-0469
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
27333
KY
2080A0000X
Pediatric Adolescent Medicine Physician
37862
KY
Other
Enumeration date
09/25/2006
Last updated
06/30/2008
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