Anggelis, Connie

Anggelis, Connie is an individual health care provider with primary practice located at 3950 Kresge Way Ste 303 , Louisville KY 40207-4637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Anggelis, Connie can be contacted via phone (502) 928-0900.

Contact Information

Primary practice address
3950 Kresge Way Ste 303 Louisville KY 40207-4637
Phone: (502) 928-0900
Fax: (502) 928-0901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 27227 Kentucky

Profile Details

NPI number 1699775007
LBN Legal business name Anggelis, Connie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699775007 NPPES
Kentucky MEDICAID 64272271

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