Provider Demographics
NPI:1881956647
Name:ALL ABOUT KIDS PEDIATRICS, LLC
Entity type:Organization
Organization Name:ALL ABOUT KIDS PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:G
Authorized Official - Last Name:GUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-444-0035
Mailing Address - Street 1:292 BROOKS MALOTT ROAD
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-9580
Mailing Address - Country:US
Mailing Address - Phone:937-444-0035
Mailing Address - Fax:937-444-0036
Practice Address - Street 1:292 BROOKS MALOTT ROAD
Practice Address - Street 2:
Practice Address - City:MT. ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-9580
Practice Address - Country:US
Practice Address - Phone:937-444-0035
Practice Address - Fax:937-444-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006192208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty