Provider Demographics
NPI:1033404801
Name:KIDS HEALTH FIRST PEDIATRICS
Entity Type:Organization
Organization Name:KIDS HEALTH FIRST PEDIATRICS
Other - Org Name:AFFINITY HEALTHCARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATEESA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:615-760-5022
Mailing Address - Street 1:PO BOX 330015
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7500
Mailing Address - Country:US
Mailing Address - Phone:615-760-5022
Mailing Address - Fax:615-760-5523
Practice Address - Street 1:4901 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5411
Practice Address - Country:US
Practice Address - Phone:615-760-5022
Practice Address - Fax:615-760-5523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health