Kellie, Scott P

Kellie, Scott P is an sole proprietor health care provider with primary practice located at 4003 Kresge Way Ste 312 , Louisville KY 40207-4652. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kellie, Scott P can be contacted via phone (502) 899-7377.

Contact Information

Primary practice address
4003 Kresge Way Ste 312 Louisville KY 40207-4652
Phone: (502) 899-7377
Fax: (502) 899-1972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X R1251 Kentucky
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 42869 Kentucky
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 42869 Kentucky

Profile Details

NPI number 1235352147
LBN Legal business name Kellie, Scott P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Mar 5th, 2024 - about last year

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 1235352147 NPPES
Kentucky MEDICAID 7100153440

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