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KOLESNIKOV PEDIATRICS PLLC
NPI 1467968834
Clinic/Center in Jenkins, KY

Active since December 21, 2017
120 PONDEROSA DR, JENKINS, KY 41537(980) 565-9500 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kolesnikov Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOLESNIKOV PEDIATRICS PLLC (NPI 1467968834) is a healthcare organization registered as a clinic/center in Jenkins, Kentucky and active in the NPI registry since December 2017. The organization lists Andrey Kolesnikov, Owner, as its authorized official.

NPPES Registry Identity

NPI1467968834
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKOLESNIKOV PEDIATRICS PLLC
Location Address120 PONDEROSA DRJenkins, KY 41537
Mailing AddressPo Box 60623Staten Island, NY 10306-0623
Phone(980) 565-9500
Organization SubpartNo
Authorized OfficialAndrey KolesnikovOwner · (980) 565-9500
Enumeration DateDecember 21, 2017
✔ NPI 1467968834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 287701
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
120 PONDEROSA DR, Jenkins, KY 41537
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kolesnikov Pediatrics PLLC's NPI number?

The NPI number for Kolesnikov Pediatrics PLLC is 1467968834. It was assigned to this organization in the NPPES registry on December 21, 2017.

Where is Kolesnikov Pediatrics PLLC located?

Kolesnikov Pediatrics PLLC is located at 120 Ponderosa Dr, Jenkins, KY 41537. The listed phone number is (980) 565-9500.

What is Kolesnikov Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kolesnikov Pediatrics PLLC was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.