Colomb, Kelly J.

Colomb, Kelly J. is an individual health care provider with primary practice located at 1214 Spring St Suite 2, Jeffersonville IN 47130-3704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Colomb, Kelly J. can be contacted via phone (812) 283-5950.

Contact Information

Primary practice address
1214 Spring St Suite 2 Jeffersonville IN 47130-3704
Fax: (812) 285-5439
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01038348A Indiana

Profile Details

NPI number 1255332672
LBN Legal business name Colomb, Kelly J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 21st, 2009 - about 15 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 1255332672 NPPES
Indiana MEDICAID 100362720

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