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Pediatric Associates

Rural Health Clinic/Center in Stanton, KY · enumerated 2006 · authorized official Djien So, Operating Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013954510

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Associates
Other name <Unavail>
Practice address 321c E College Ave, Stanton, KY, 40380
Fax (606) 663-9470
Enumeration date Jun 1, 2006
Last updated in NPPES Mar 21, 2017

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 900183 (KY) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 900183 (KY) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA1161 (KY) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 3006123 (KY) Secondary

Authorized official

Name Djien So
Title Operating Manager

Other identifiers

Identifier Type State Issuer
35001783 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pediatric Associates?
The NPI for Pediatric Associates is 1013954510, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Associates?
NPPES lists Djien So (Operating Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-21.