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PEDIATRIC CARE OF KENTUCKY PSC
NPI 1598739849
Pediatrics in Edgewood, KY

Active since February 14, 2006
20 MEDICAL VILLAGE DR, SUITE 102, EDGEWOOD, KY 41017(859) 341-1011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pediatric Care Of Kentucky Psc NPPES

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

PEDIATRIC CARE OF KENTUCKY PSC (NPI 1598739849) is a healthcare organization registered as a pediatrics in Edgewood, Kentucky and active in the NPI registry since February 2006. The organization lists Jeaneen M Dedden, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1598739849
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CARE OF KENTUCKY PSC
Location Address20 MEDICAL VILLAGE DR, SUITE 102Edgewood, KY 41017-5401
Mailing Address20 Medical Village Dr, Ste 102Edgewood, KY 41017-5401 · (859) 341-1011 · Fax (859) 341-7198
Phone(859) 341-1011
Organization SubpartNo
Authorized OfficialJeaneen M DeddenBusiness Manager · (859) 341-7500
Enumeration DateFebruary 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598739849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20 MEDICAL VILLAGE DR, Edgewood, KY 41017
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0686837

Pediatric Care Of Kentucky Psc · Edgewood, KY
Expired · Aug 21, 2026
CLIA Number18D0686837
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorKeith A. Stowers
Laboratory Phone(859) 341-1011
Laboratory LocationPediatric Care Of Kentucky Psc20 Medical Village Drive Ste 102, Edgewood, KY 41017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

INFECTIOUS DISEASE CONSULTANTS INC
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
DAVID THOMAS TACKETT APRN
Nurse Practitioner
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
DEBORAH JOY BARNETT PA-C
Physician Assistant
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
VINCENT E ZIEGLER, PSC
Psychiatry & Neurology (Psychiatry)
20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017
Kenton County (859) 341-5074
DR. MICHEAL LINK ROBINSON MD, DMD
Dentist (Oral and Maxillofacial Surgery)
20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017
Kenton County (859) 331-2100
VIDYA RAJARAM DEVARAJAN M.D.
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
THE CRANLEY SURGICAL ASSOC,INC.
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Kenton County (859) 578-0442
ANNA MORIAH GROTE CRNA
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 341-7246

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 Pediatric Care Of Kentucky Psc's NPI number?

The NPI number for Pediatric Care Of Kentucky Psc is 1598739849. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Pediatric Care Of Kentucky Psc located?

Pediatric Care Of Kentucky Psc is located at 20 Medical Village Dr Suite 102, Edgewood, KY 41017. The listed phone number is (859) 341-1011.

What is Pediatric Care Of Kentucky Psc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Pediatric Care Of Kentucky Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Pediatric Care Of Kentucky Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Care Of Kentucky Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.