| NPI | 1659919272 |
|---|---|
| Doing Business As | HEALTHY KIDS CLINIC- LEBANON PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ERIC E LOY CEO 270-858-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2025-10-08 |