| Pediatric And Adult Prompt Care Llc | |
|
614 W Broadway Louisville KY 40202-2212 | |
| (502) 587-0394 | |
| (502) 587-0390 |
| Full Name | Pediatric And Adult Prompt Care Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 614 W Broadway, Louisville, Kentucky |
| Authorized Official Name and Position | Akasha Haq (CEO) |
| Authorized Official Contact | 5025870394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Adult Prompt Care Llc 614 W Broadway Louisville KY 40202-2212 Ph: (502) 587-0394 | Pediatric And Adult Prompt Care Llc 614 W Broadway Louisville KY 40202-2212 Ph: (502) 587-0394 |
| NPI Number | 1760713796 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 09/20/2023 |
| Medicare PECOS PAC ID | 5799828851 |
|---|---|
| Medicare Enrollment ID | O20100211000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760713796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (Kentucky) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (Kentucky) | Secondary |
| Provider Name | Akasha Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730252453 PECOS PAC ID: 7012072259 Enrollment ID: I20090223000133 |
| Provider Name | Abdul Haq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922171636 PECOS PAC ID: 9133372451 Enrollment ID: I20130116000275 |
| Provider Name | Melissa S Chesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356826903 PECOS PAC ID: 6800120395 Enrollment ID: I20190703001918 |
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