Cahill, Kelly Theron

Cahill, Kelly Theron is an individual health care provider with primary practice located at 3220 Kaliste Saloom Rd Suite A, Lafayette LA 70508-7422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cahill, Kelly Theron can be contacted via phone (337) 406-9474.

Contact Information

Primary practice address
3220 Kaliste Saloom Rd Suite A Lafayette LA 70508-7422
Fax: (337) 406-1027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.200283 Louisiana

Profile Details

NPI number 1982732061
LBN Legal business name Cahill, Kelly Theron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jan 27th, 2021 - 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 1982732061 NPPES
Louisiana MEDICAID 1075736

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