OrganizationActive
Perry Kids Pediatrics
NPI 1417123761 · Pediatric Medical Toxicology Physician · Perryville, MO
Provider details
- NPI number
- 1417123761
- Entity type
- Organization
- Primary specialty
- Pediatric Medical Toxicology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Bhargav Kanani, Administrator
- License
- MO105937 (MO)
Practice location
210 Hospital Ln
Perryville, MO 63775-1276
Phone: (573) 517-0999
Fax: (573) 517-0812
Mailing address
210 Hospital Lane
Perryville, MO 63670
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.