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

Professional Pediatrics, PSC

Organization Pediatrics Physician · NPI 1083819304

Professional Pediatrics, PSC is a Pediatrics Physician in Russell, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
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

105 Thompson Rd
Russell, KY 41169-1645
Phone: (606) 833-8480
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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 number1083819304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Lichtenberger — President · (606) 833-8480
NPI enumeratedJune 18, 2007
Last updated in NPPESAugust 6, 2012
Mailing address105 Thompson Rd, Russell, KY 41169-1645

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