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Tri-state Pediatrics
Specialist in Ashland, Kentucky
NPI 1013098904

Tri-state Pediatrics is a Specialist based in Ashland, KY. Tri-state Pediatrics practices in Ashland, KY. The NPI Number for Tri-state Pediatrics is 1013098904 and holds a License No. 25781 (Kentucky).

The current practice location address for Tri-state Pediatrics is 900 Saint Christopher Dr, Ashland, KY and can be reached out via phone at 606-836-0919 and via fax at 606-836-2847.

Location: 900 Saint Christopher Dr, Ashland, KY, 41101-7090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013098904
Provider Name
Tri-state Pediatrics
Credential
Provider Entity Type
Organization
Address
900 Saint Christopher Dr, Ashland, KY, 41101-7090
Phone Number
606-836-0919
Fax Number
606-836-2847
Provider Enumeration Date
10/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64011059 05 KY
02639 01 KY KY LICENSE
38597 01 KY KY LICENSE
64066384 05 KY
2271429 05 OH
0665310 05 OH
25781 01 KY KY LICENSE
64257819 05 KY
institution
Provider Business Practice Location Address Details
Address
900 Saint Christopher Dr
City
Ashland
State
Kentucky
Zip
41101-7090
Phone Number
606-836-0919
Fax Number
606-836-2847
person
Provider Business Mailing Address Details
Address
900 Saint Christopher Dr
City
Ashland
State
Kentucky
Zip
41101-7090
Phone Number
606-836-0919
Fax Number
606-836-2847
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25781 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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