Organization
RIVER HILLS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOHN OTREMBIAK M.D. (PRESIDENT)
(859) 781-1310
Entity
Organization
Contact information
Practice address
525 ALEXANDRIA PIKE STE 320, SOUTHGATE, KY 41071
(859) 781-1310
(859) 572-3021
Mailing address
525 ALEXANDRIA PIKE STE 320, SOUTHGATE, KY 41071-3243
(859) 781-1310
(859) 572-3021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65903759
—
KY
Enumeration date
01/23/2007
Last updated
07/31/2018
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