Advanced Care Pediatric Centre PLLC

Organization Active NPI Pediatrics Physician · Danville, KY

NPI 1477059657 · NPPES record last updated Mar 2, 2023

Key facts

NPI
1477059657
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
ADVANCED CARE PEDIATRIC CENTRE PLLC
Practice address
1000 E Lexington Ave Ste 31
Danville, KY 40422-1707
Phone
(859) 209-2636
Fax
(859) 209-2643
NPI assigned
Apr 5, 2018
Organization subpart
No

Authorized official

Name
Kelli Whitt, MD
Title
Owner
Phone
(859) 209-2636

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2275555Advanced Care Pediatric Centre
1000 E Lexington Ave, Suite 31, Danville, KY 40422
Certificate of waiverJan 23, 2027

National Provider Directory

Locations

1000 E Lexington Ave
Ste 31
Danville, KY 40422
Phone (859) 209-2636

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

1000 E Lexington Ave Ste 31
Danville, KY 40422-1707

Mailing address

1000 E Lexington Ave Ste 31
Danville, KY 40422-1707
Phone (859) 209-2636

Other providers in Danville, KY

All providers in Danville, KY · Pediatrics Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.