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Organization

COMMONWEALTH PEDIATRICS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA DENNISON (PRACTICE ADMINISTRATOR)
(859) 277-6636
Entity
Organization

Contact information

Practice address
1780 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503
(859) 277-6636
(859) 277-1455
Mailing address
1780 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503
(859) 277-6636
(859) 277-1455

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/28/2006
Last updated
05/08/2017
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