Kreis, Samuel Duane
Kreis, Samuel Duane is an individual health care provider with primary practice located at 272 London Mountain View Dr Ste 3 , London KY 40741-6601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kreis, Samuel Duane can be contacted via phone (606) 877-2850.Contact Information
Primary practice address
272 London Mountain View Dr Ste 3
London KY 40741-6601
Phone: (606) 877-2850
Fax: (606) 877-2857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37696 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD0000037275 | Tennessee |
Profile Details
| NPI number | 1558311175 |
|---|---|
| LBN Legal business name | Kreis, Samuel Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Sep 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558311175 | NPPES |
| Kentucky | MEDICAID | 64067051 | |
| Kentucky | Other | C92392 | |
| Kentucky | Other | 9927 | |
| Kentucky | MEDICAID | 65944589 | |
| Kentucky | Other | DE2149 |
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