Kogut, Kelly Ann

Kogut, Kelly Ann is an individual health care provider with primary practice located at 653 N Town Center Dr Suite 507, Las Vegas NV 89144-0514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Kogut, Kelly Ann can be contacted via phone (702) 233-8101.

Contact Information

Primary practice address
653 N Town Center Dr Suite 507 Las Vegas NV 89144-0514
Phone: (702) 233-8101
Fax: (702) 242-0726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 9338 Nevada

Profile Details

NPI number 1881694719
LBN Legal business name Kogut, Kelly Ann
Credentials M.D., P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 15th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881694719 NPPES
Nevada MEDICAID 002018507

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