| Healthcare For Kids & Teens, Pllc | |
|
54 Miller Pike Lebanon KY 40033-9248 | |
| (270) 692-9015 | |
| (270) 692-9008 |
| Full Name | Healthcare For Kids & Teens, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 54 Miller Pike, Lebanon, Kentucky |
| Authorized Official Name and Position | Jennifer Mullins (OWNER/PROVIDER) |
| Authorized Official Contact | 2706929015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare For Kids & Teens, Pllc 54 Miller Pike Lebanon KY 40033-9248 Ph: (270) 692-9015 | Healthcare For Kids & Teens, Pllc 54 Miller Pike Lebanon KY 40033-9248 Ph: (270) 692-9015 |
| NPI Number | 1861993263 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861993263 | NPI | - | NPPES |
| 1942307079 | Other | KY | PROVIDER NPI |
| 3004368 | Other | KY | APRN LICENSE |
| 78013729 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3004368 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 3004368 (Kentucky) | Primary |
Vmd Primary Providers Central Kentucky Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Lebanon, KY 40033 Phone: 270-692-3883 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 270-692-3676 Fax: 270-858-4029 | |
Gregory W. Schall, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 W High Street, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
One Cross Community, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 429 W Walnut St, Lebanon, KY 40033 Phone: 270-789-0034 Fax: 270-789-0097 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Hwy 327, Lebanon, KY 40033 Phone: 270-692-4902 Fax: 270-858-4029 |