Axelrad, Kellie Scott
Axelrad, Kellie Scott is an individual health care provider with primary practice located at 6264 Canal Blvd , New Orleans LA 70124-3030. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Axelrad, Kellie Scott can be contacted via phone (504) 833-5528.Contact Information
Primary practice address
6264 Canal Blvd
New Orleans LA 70124-3030
Phone: (504) 833-5528
Fax: (504) 833-5542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5545 | Louisiana |
Profile Details
| NPI number | 1114089067 |
|---|---|
| LBN Legal business name | Axelrad, Kellie Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jun 24th, 2015 - about 11 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 | 1114089067 | NPPES |
| Louisiana | MEDICAID | 1855456 |
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