Organization Active NPI

Kid Care, PSC

  • Specialist
  • Maysville, KY
National Provider Identifier
1760589873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KID CARE, PSC
Practice address
991 Medical Park Dr Ste 107
Maysville, KY 41056-8766
Phone
(606) 759-5437
Fax
(606) 759-9267
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen McDowell
Title
Office Manager
Phone
(606) 759-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

991 Medical Park Dr Ste 107
Maysville, KY 41056-8766

Mailing address

991 Medical Park Dr Ste 107
Maysville, KY 41056-8766
Phone (606) 759-5437

Other identifiers 1

IdentifierTypeStateIssuer
65900797MedicaidKY

National Provider Directory

National Provider Directory

Locations

1350 Medical Park Dr
Ste 3
Maysville, KY 41056
Phone (606) 759-5437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760589873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 107",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568766",
            "telephone_number": "606-759-5437",
            "fax_number": "606-759-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 107",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568766",
            "telephone_number": "606-759-5437",
            "fax_number": "606-759-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-759-5437"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65900797",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.