NPI 1003875709

Parkway Pediatrics Psc

Organisation Pediatrics Physician London, KY

Practice location

Address: 809 Meyers Baker Rd Suite 1, London, KY 40741-3025
Phone: (606) 864-7337
Fax: (606) 878-3257
Mailing address: PO Box 689, London, KY 40741

Authorised official

Name: Indira Moodumane
Title: Pediatric Physician
Phone: (606) 864-7337

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 36054 (KY)

Other Pediatrics providers in Kentucky →

Registry record

NPI: 1003875709
Entity type: Organization
NPI issued: 21 Mar 2006
Record last updated: 24 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.