Kelley, Jason

Kelley, Jason is an individual health care provider with primary practice located at 201 Abraham Flexner Way , Louisville KY 40202-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kelley, Jason can be contacted via phone (502) 852-5841.

Contact Information

Primary practice address
201 Abraham Flexner Way Louisville KY 40202-3841
Phone: (502) 852-5841
Fax: (502) 589-5093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 37122 Kentucky

Profile Details

NPI number 1205818218
LBN Legal business name Kelley, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205818218 NPPES
Kentucky MEDICAID 64044852

Popular Providers