Provider Demographics
NPI:1467961896
Name:OUR KIDS
Entity Type:Organization
Organization Name:OUR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPNP
Authorized Official - Prefix:
Authorized Official - First Name:LEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-341-4911
Mailing Address - Street 1:1804 HAYES ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2504
Mailing Address - Country:US
Mailing Address - Phone:615-341-4911
Mailing Address - Fax:
Practice Address - Street 1:1804 HAYES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2504
Practice Address - Country:US
Practice Address - Phone:615-341-4911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse PediatricsGroup - Single Specialty