Kelepouris, Ellie

Kelepouris, Ellie is an individual health care provider with primary practice located at 216 N. Broad St. 5Th Floor, Philadelphia PA 19102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Kelepouris, Ellie can be contacted via phone (215) 762-1147.

Contact Information

Primary practice address
216 N. Broad St. 5Th Floor Philadelphia PA 19102
Phone: (215) 762-1147
Fax: (215) 762-1904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD038124L Pennsylvania

Profile Details

NPI number 1790773547
LBN Legal business name Kelepouris, Ellie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Nov 20th, 2018 - about 8 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 1790773547 NPPES
Pennsylvania MEDICAID 0008593700002

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