Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kids Care Pediatrics PA

Organization Pediatrics Physician · NPI 1487612628

Kids Care Pediatrics PA provides Pediatrics Physician services in Smithfield, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Kellie Dr
Smithfield, NC 27577-9443
Phone: (919) 938-3749
Fax: (919) 938-3795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 147337 (NC)

Record details

NPI number1487612628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Tetreault — President · (919) 938-3749
NPI enumeratedMay 3, 2006
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address101 Kellie Dr, Smithfield, NC 27577-9443

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