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
-
Kelli Gambill Whitt, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2275555 | Advanced Care Pediatric Centre | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
Locations
1000 E Lexington Ave
Ste 31
Danville, KY 40422
Phone (859) 209-2636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
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
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- Donnie L Adkins
- Affect Provider Group, P.S.C.
- Aslam M Ahmad
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- Gary R Ahnquist
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All providers in Danville, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.