Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maysville Internal Medicine Pediatric Assoc PSC

Organization Internal Medicine Physician · NPI 1841373412

Maysville Internal Medicine Pediatric Assoc PSC is an Internal Medicine Physician in Maysville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2009 Old Main St
Maysville, KY 41056
Phone: (606) 759-7615
Fax: (606) 759-7821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24430 (KY)
Pediatrics Physician Taxonomy 208000000X (KY)
Family Nurse Practitioner Taxonomy 363LF0000X (KY)

Record details

NPI number1841373412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wallingford — President · (606) 759-7615
NPI enumeratedOctober 24, 2006
Last updated in NPPESJune 9, 2016
Mailing address2009 Old Main St, Maysville, KY 41056

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