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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558311175 NPPES
Kentucky MEDICAID 64067051
Kentucky Other C92392
Kentucky Other 9927
Kentucky MEDICAID 65944589
Kentucky Other DE2149

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