Cuello Pichardo, Kilsy

Cuello Pichardo, Kilsy is an sole proprietor health care provider with primary practice located at 157 Clinic Ave Ste 203 , Carrollton GA 30117-4454. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Cuello Pichardo, Kilsy can be contacted via phone (770) 832-0429.

Contact Information

Primary practice address
157 Clinic Ave Ste 203 Carrollton GA 30117-4454
Phone: (770) 832-0429
Fax: (770) 838-9108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77453 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 030553-R Puerto Rico
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 77453 Georgia

Profile Details

NPI number 1720407588
LBN Legal business name Cuello Pichardo, Kilsy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2014
Last updated Jun 17th, 2019 - about 6 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 1720407588 NPPES
Georgia MEDICAID 003164765B

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