Organization
DANVILLE PEDIATRICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY SCOTT M.D. (PRESIDENT)
(859) 236-1080
Entity
Organization
Contact information
Practice address
303 S 4TH ST, DANVILLE, KY 40422-2004
(859) 236-1080
(859) 236-1862
Mailing address
303 S 4TH ST, DANVILLE, KY 40422-2004
(859) 236-1080
(859) 236-1862
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65911711
—
KY
Enumeration date
06/08/2006
Last updated
08/22/2020
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