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Kolesnikov Pediatrics Pllc
Clinic/Center in Jenkins, Kentucky
NPI 1467968834

Kolesnikov Pediatrics Pllc is a Clinic/Center based in Staten Island, KY. Kolesnikov Pediatrics Pllc practices in Jenkins, KY. The NPI Number for Kolesnikov Pediatrics Pllc is 1467968834 and holds a License No. 287701 (Kentucky).

The current practice location address for Kolesnikov Pediatrics Pllc is 120 Ponderosa Dr, Jenkins, KY and can be reached out via phone at 980-565-9500.

Location: 120 Ponderosa Dr, Jenkins, KY, 10306-0623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467968834
Provider Name
Kolesnikov Pediatrics Pllc
Credential
Provider Entity Type
Organization
Address
120 Ponderosa Dr, Jenkins, KY, 10306-0623
Phone Number
980-565-9500
Fax Number
Provider Enumeration Date
12/21/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Ponderosa Dr
City
Jenkins
State
Kentucky
Zip
41537
Phone Number
980-565-9500
Fax Number
person
Provider Business Mailing Address Details
Address
120 Ponderosa Dr
City
Jenkins
State
Kentucky
Zip
41537
Phone Number
980-565-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
287701 (New York)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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