Kogut, Kelly Ann
Kogut, Kelly Ann is an individual health care provider with primary practice located at 653 N Town Center Dr Suite 507, Las Vegas NV 89144-0514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Kogut, Kelly Ann can be contacted via phone (702) 233-8101.Contact Information
Primary practice address
653 N Town Center Dr Suite 507
Las Vegas NV 89144-0514
Phone: (702) 233-8101
Fax: (702) 242-0726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 9338 | Nevada |
Profile Details
| NPI number | 1881694719 |
|---|---|
| LBN Legal business name | Kogut, Kelly Ann |
| Credentials | M.D., P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 15th, 2008 - about 18 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 | 1881694719 | NPPES |
| Nevada | MEDICAID | 002018507 |
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