NPI 1013216936

University Pediatric Endocrinology, LLC

Organisation Pediatric Endocrinology Physician Bowling Green, KY

Practice location

Address: 720 2nd St STE 102, Bowling Green, KY 42101-1778
Phone: (502) 629-8821
Fax: (502) 629-8824
Mailing address: PO Box 2469, Louisville, KY 40201-2469

Authorised official

Name: Gerard P Rabalais
Title: Chairman
Phone: (502) 852-8600

Registered specialties (4)

Pediatric Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0205X

Other Pediatrics providers in Kentucky →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Kentucky →

Pediatric Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X

Registry record

NPI: 1013216936
Entity type: Organization
NPI issued: 17 Mar 2011
Record last updated: 28 Mar 2011

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.