| Springhurst Pediatrics Pllc | |
|
10210 Westport Rd Louisville KY 40241-2148 | |
| (502) 339-0444 | |
| (502) 339-1717 |
| Full Name | Springhurst Pediatrics Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10210 Westport Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Selma P Winner (PHYSICIAN, MEMBER) |
| Authorized Official Contact | 5023390444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springhurst Pediatrics Pllc 10210 Westport Rd Louisville KY 40241-2148 Ph: (502) 339-0444 | Springhurst Pediatrics Pllc 10210 Westport Rd Louisville KY 40241-2148 Ph: (502) 339-0444 |
| NPI Number | 1154460079 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 03/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154460079 | NPI | - | NPPES |
| 65944084 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23855 (Kentucky) | Primary |
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