Price, Kellous Andrew
Price, Kellous Andrew is an individual health care provider with primary practice located at 1730 Birmingham Dr , College Station TX 77845-4063. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Price, Kellous Andrew can be contacted via phone (979) 693-6000.Contact Information
Primary practice address
1730 Birmingham Dr
College Station TX 77845-4063
Phone: (979) 693-6000
Fax: (979) 693-1900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | L7525 | Texas |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | L7525 | Texas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | L7525 | Texas |
Profile Details
| NPI number | 1285632679 |
|---|---|
| LBN Legal business name | Price, Kellous Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Sep 16th, 2011 - about 15 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 | 1285632679 | NPPES |
| Texas | MEDICAID | 160418301 |
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