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

The Childrens Clinic, PLLC

Organization Pediatrics Physician · NPI 1669523684

The Childrens Clinic, PLLC is a Pediatrics Physician in Lebanon, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
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

420 Loretta Rd
Lebanon, KY 40033
Phone: (270) 699-2210
Fax: (270) 699-4335
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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 39507 (KY)

Record details

NPI number1669523684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Gucilatar — Owner · (270) 699-2210
NPI enumeratedJanuary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address420 Loretta Road, Lebanon, KY 40033

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