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

Premium Pediatrics PLLC

Organization Pediatrics Physician · NPI 1174699359

Premium Pediatrics PLLC is a Pediatrics Physician in Campbellsville, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

307 E Broadway St
Campbellsville, KY 42718-2003
Phone: (270) 789-4788
Fax: (270) 572-4227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1174699359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Bodeanu — Physician And Owner · (270) 789-4788
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 11, 2008
Mailing address307 E Broadway St, Campbellsville, KY 42718-2003

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