Choi, Kellen Bo Yung
Choi, Kellen Bo Yung is an individual health care provider with primary practice located at 401 E Chestnut St Unit 480 , Louisville KY 40202-5704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Choi, Kellen Bo Yung can be contacted via phone (502) 588-4740.Contact Information
Primary practice address
401 E Chestnut St Unit 480
Louisville KY 40202-5704
Phone: (502) 588-4740
Fax: (502) 588-9537
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 60181 | Minnesota |
Allopathic & Osteopathic Physicians / Urology | 208800000X | TP281 | Kentucky |
Profile Details
NPI number | 1184915373 |
---|---|
LBN Legal business name | Choi, Kellen Bo Yung |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2011 |
Last updated | Jan 7th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184915373 | NPPES |
Kentucky | Other | K246190 | MEDICARE |
Kentucky | MEDICAID | 300010321 | MEDICARE |
Kentucky | MEDICAID | 7100569410 | MEDICARE |
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