NPI 1295461119

Red Maple Pediatrics LLC

Organisation Rural Health Clinic/Center Russellville, KY

Practice location

Address: 1621 Nashville St STE 106, Russellville, KY 42276-8871
Phone: (270) 946-1372
Fax: (270) 216-6185

Authorised official

Name: Danielle Kennedy-Foster
Title: MD
Phone: (270) 438-6622

Registered specialties (3)

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Kentucky →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Kentucky →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Other Nurse Practitioner providers in Kentucky →

Registry record

NPI: 1295461119
Entity type: Organization
NPI issued: 25 Jul 2022
Record last updated: 26 Feb 2024

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.