Organization
PEDIATRIX MEDICAL GROUP OF KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASHFORD (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6580
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(804) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65937344
—
KY
Enumeration date
09/17/2006
Last updated
11/05/2024
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