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

Pediatric Specialty Clinic, LLC

Organization Pediatrics Physician · NPI 1053605063

Pediatric Specialty Clinic, LLC is a Pediatrics Physician in Lexington, Kentucky. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2647 Regency Rd
Lexington, KY 40503-2959
Phone: (859) 276-1088
Fax: (859) 276-1096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1053605063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Giles — Ceo/Member · (859) 219-2828
Other names Pediatric Care Of Lexington
NPI enumeratedJune 7, 2011
Last updated in NPPESMarch 12, 2015
Mailing address1031 Wellington Way, Suite 245, Lexington, KY 40513-1258

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