Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Childrens Clinic, PLLC

Organization Pediatrics Physician · NPI 1669523684

The Childrens Clinic, PLLC provides Pediatrics Physician services in Lebanon, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

420 Loretta Rd
Lebanon, KY 40033
Phone: (270) 699-2210
Fax: (270) 699-4335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39507 (KY)

Record details

NPI number1669523684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Gucilatar — Owner · (270) 699-2210
NPI enumeratedJanuary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address420 Loretta Road, Lebanon, KY 40033

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