Active NPI
Kid Care, PSC
- Specialist
- Maysville, KY
National Provider Identifier
1760589873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65900797 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.