Mcmasters, Kelly M

Mcmasters, Kelly M is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202-5700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Mcmasters, Kelly M can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Suite 710 Louisville KY 40202-5700
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 27332 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 27332 Kentucky

Profile Details

NPI number 1457330094
LBN Legal business name Mcmasters, Kelly M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 30th, 2009 - about 15 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 1457330094 NPPES
Indiana MEDICAID 200070640A
Indiana MEDICAID 64273329
Indiana Other 1051087

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