Schmeeckle, Kellie D
Schmeeckle, Kellie D is an individual health care provider with primary practice located at 4950 Essen Lane , Baton Rouge LA 70809-3482. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Schmeeckle, Kellie D can be contacted via phone (225) 767-1311.Contact Information
Primary practice address
4950 Essen Lane
Baton Rouge LA 70809-3482
Phone: (225) 767-1311
Fax: (225) 767-1335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 025615 | Louisiana |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 025615 | Louisiana |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 25615 | Louisiana |
Profile Details
| NPI number | 1376761783 |
|---|---|
| LBN Legal business name | Schmeeckle, Kellie D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Apr 7th, 2021 - about 3 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 | 1376761783 | NPPES |
| Louisiana | Other | 025615 | STATE LICENSE NUMBER |
| Louisiana | MEDICAID | 1043389 | STATE LICENSE NUMBER |
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