| NPI | 1003228198 |
|---|---|
| Doing Business As | NICHOLASVILLE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | GARY ALLEN WEINBERGER President/Owner 859-881-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 33102) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |