| Organization Name: | MAYFIELD PEDIATRIC CLINIC PLLC |
| NPI Number: | 1205079134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABID HUSSAIN (PHYSICIAN/PRESIDENT) |
| Mailing Address: | 1111 Medical Center Circle Mayfield |
| State: | KY US |
| Postal Code: | 42066 |
| Phone Number: | 2702471104 |
| Fax Number: | 2702471107 |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 11/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 41115 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |