Creason, Kelsea Lea
Creason, Kelsea Lea is an sole proprietor health care provider with primary practice located at 231 Midland Park , Shelbyville KY 40065-9735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Creason, Kelsea Lea can be contacted via phone (502) 633-6411.Contact Information
Primary practice address
231 Midland Park
Shelbyville KY 40065-9735
Phone: (502) 633-6411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | TC875 | Kentucky |
Profile Details
| NPI number | 1023669728 |
|---|---|
| LBN Legal business name | Creason, Kelsea Lea |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2019 |
| Last updated | Sep 24th, 2019 - about 7 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 | 1023669728 | NPPES |
| Kentucky | Other | TC875 | TEMPORARY LICENSE |
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