Organization
PEDIATRIC PARTNERS OF WESTERN KY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T HOUSTON M.D. (OWNER)
(270) 926-8828
Entity
Organization
Contact information
Practice address
2707 BRECKENRIDGE ST, STE. 2, OWENSBORO, KY 42303-1385
(270) 926-8828
(270) 929-0760
Mailing address
2707 BRECKENRIDGE ST, STE. 2, OWENSBORO, KY 42303-1385
(270) 926-8828
(270) 929-0760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003752
—
KY
Enumeration date
10/01/2008
Last updated
10/01/2008
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