institution
St Luke Pediatric Center
Pediatric Nurse Practitioner in Bellevue, Kentucky
NPI 1104087196

St Luke Pediatric Center is a Pediatric Nurse Practitioner based in Bellevue, KY and is specialized in Pediatrics. St Luke Pediatric Center practices in Bellevue, KY. The NPI Number for St Luke Pediatric Center is 1104087196 and holds a License No. (Kentucky).

The current practice location address for St Luke Pediatric Center is 103 Landmark Dr Ste 360, Bellevue, KY and can be reached out via phone at 859-261-3700 and via fax at 859-261-9788.

Location: 103 Landmark Dr Ste 360, Bellevue, KY, 41073-1354
institution
Provider Profile Details
NPI Number
1104087196
Provider Name
St Luke Pediatric Center
Credential
Provider Entity Type
Organization
Address
103 Landmark Dr Ste 360, Bellevue, KY, 41073-1354
Phone Number
859-261-3700
Fax Number
859-261-9788
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
65915621 05 KY
78901709 01 KY MEDICAID NP GROUP
institution
Provider Business Practice Location Address Details
Address
103 Landmark Dr Ste 360
City
State
Zip
41073-1354
Phone Number
859-261-3700
Fax Number
859-261-9788
person
Provider Business Mailing Address Details
Address
103 Landmark Dr Ste 360
City
State
Zip
41073-1354
Phone Number
859-261-3700
Fax Number
859-261-9788
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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