| NPI | 1316159502 |
|---|---|
| Doing Business As | KID CARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TAMMY MICHELLE MCNEELY Office Manager 304-925-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |