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Organization

PEDIATRICS OF BULLITT COUNTY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY M LEWIS MD (OWNER)
(502) 215-5090
Entity
Organization

Contact information

Practice address
1707 CEDAR GROVE RD, SUITE 20, SHEPHERDSVILLE, KY 40165-8572
(502) 215-5090
(502) 215-2095
Mailing address
1707 CEDAR GROVE RD, SUITE 20, SHEPHERDSVILLE, KY 40165-8572
(502) 215-5090
(502) 215-2095

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
01/07/2009
Last updated
10/26/2017
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