Basic Information
| Provider Information | |||||||||
| NPI: | 1154458057 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE BEST KIDS, PLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 217 BRECKENRIDGE LN | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402073858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5028959421 | ||||||||
| FaxNumber: | 5028995762 | ||||||||
| Practice Location | |||||||||
| Address1: | 217 BRECKENRIDGE LN | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402073858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5028959421 | ||||||||
| FaxNumber: | 5028995762 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LIVERA | ||||||||
| AuthorizedOfficialFirstName: | HAROLD | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 5028959421 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 25408 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.