Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northside Pediatrics PSC

Organization Pediatrics Physician · NPI 1295894137

Northside Pediatrics PSC provides Pediatrics Physician services in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
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

290 Old Jackson Hwy 31E Loop
Glasgow, KY 42141-9089
Phone: (270) 678-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 19876 (KY)

Record details

NPI number1295894137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Moss — President · (270) 678-5740
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address290 Old Jackson Hwy 31e Loop, Glasgow, KY 42141-9089

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