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
Fax: (502) 588-9537
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184915373 NPPES
Kentucky Other K246190 MEDICARE
Kentucky MEDICAID 300010321 MEDICARE
Kentucky MEDICAID 7100569410 MEDICARE

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