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CLAY CITY PEDIATRICS, PSC

Ambulatory Health Care Facilities Clinic/Center Primary Care

Provider NPI: 1396048872

Organization Information:
Organization Name:  CLAY CITY PEDIATRICS, PSC
Organization is not Subpart
Authorized Official:  EYAD  ALBAREE  PARTNER  606-349-8100

Practice Location:
98 RIVER ST  CLAY CITY, KY 40312-1314 US
Tel: 606-663-7788  Fax: 606-663-7785

Business Mailing Address:
PO BOX 280  PRESTONSBURG, KY 41653-0280 US
Tel: 606-349-8100  Fax: 606-349-8150

NPI Information:
NPI: 1396048872
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP2300XAmbulatory Health Care Facilities
Clinic/Center
Primary Care
KY700222

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QP2300X

Type:

Classification:



Definition:



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