Mcintyre, Kelley M.

Mcintyre, Kelley M. is an individual health care provider with primary practice located at 3 Audubon Plaza Dr Ste Ll2 , Louisville KY 40217-1360. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mcintyre, Kelley M. can be contacted via phone (502) 636-8095.

Contact Information

Primary practice address
3 Audubon Plaza Dr Ste Ll2 Louisville KY 40217-1360
Phone: (502) 636-8095
Fax: (502) 636-8097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 36930 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36930 Kentucky

Profile Details

NPI number 1497710693
LBN Legal business name Mcintyre, Kelley M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 19th, 2022 - about 2 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 1497710693 NPPES
Kentucky Other 012818 SIHO / NCMA
Kentucky Other 1165398 SIHO / NCMA
Kentucky Other 110235754 SIHO / NCMA
Kentucky Other 000000225552 SIHO / NCMA
Kentucky MEDICAID 64048663 SIHO / NCMA
Kentucky Other 000023029E SIHO / NCMA
Kentucky MEDICAID 200532250 SIHO / NCMA
Kentucky Other 2439944000 SIHO / NCMA

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