Organization
GLASGOW PEDIATRIC ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA B DENNISON MD (OWNER)
(270) 651-9696
Entity
Organization
Contact information
Practice address
301 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3487
(270) 651-9696
(270) 651-0385
Mailing address
301 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3487
(270) 651-9696
(270) 651-0385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KY
208000000X
Pediatrics Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65935595
—
KY
Enumeration date
01/11/2007
Last updated
10/14/2009
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