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HENDERSON PEDIATRICS, PSC
NPI 1497088090
Pediatrics - Adolescent Medicine in Henderson, KY

Active since September 14, 2009
1035 N ELM ST, HENDERSON, KY 42420(270) 827-4596 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henderson Pediatrics, Psc NPPES

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

HENDERSON PEDIATRICS, PSC (NPI 1497088090) is a healthcare organization registered as an adolescent medicine in Henderson, Kentucky and active in the NPI registry since September 2009. The organization lists Kimberly K Rudd, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1497088090
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameHENDERSON PEDIATRICS, PSC
Location Address1035 N ELM STHenderson, KY 42420-2712
Mailing Address1035 N Elm StHenderson, KY 42420-2712 · (270) 827-4596
Phone(270) 827-4596
Organization SubpartNo
Authorized OfficialKimberly K RuddBilling Specialist · (270) 827-4596
Enumeration DateSeptember 14, 2009
✔ NPI 1497088090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in KY · 40961
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1035 N ELM ST, Henderson, KY 42420
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Other Identifiers 2

Other000000625514KY · Anthem
Medicaid7100005530KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEACONESS CLINIC, INC
Pediatrics
1035 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-4596
DR. SARA LYNN SAGEZ-BARNETT O.D.
Optometrist
1035 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 577-1724
HOMETOWN VISION CARE LLC
Optometrist
1035 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 577-1724

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 Henderson Pediatrics, Psc's NPI number?

The NPI number for Henderson Pediatrics, Psc is 1497088090. It was assigned to this organization in the NPPES registry on September 14, 2009.

Where is Henderson Pediatrics, Psc located?

Henderson Pediatrics, Psc is located at 1035 N Elm St, Henderson, KY 42420. The listed phone number is (270) 827-4596.

What is Henderson Pediatrics, Psc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Henderson Pediatrics, Psc was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.