Pediatric Associates
Pediatric Associates provides Pediatrics Physician services in Stanton, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.
- Licensed in
- KY
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
321C E College AveStanton, KY 40380-2325
Phone: (606) 663-9797
Fax: (606) 663-9470
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 900183 (KY) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 900183 (KY) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA1161 (KY) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 3006123 (KY) |
Record details
| NPI number | 1013954510 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Djien So — Operating Manager · (606) 432-0174 |
| Other names | Red River Health Care |
| NPI enumerated | June 1, 2006 |
| Last updated in NPPES | March 21, 2017 |
| Mailing address | Po Box 2748, Pikeville, KY 41502-2748 |