Pringle, Kelly N

Pringle, Kelly N is an individual health care provider with primary practice located at 100 Mallard Creek Rd Ste 395 , Louisville KY 40207-5167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pringle, Kelly N can be contacted via phone (502) 895-9421.

Contact Information

Primary practice address
100 Mallard Creek Rd Ste 395 Louisville KY 40207-5167
Phone: (502) 895-9421
Fax: (502) 899-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35844 Kentucky

Profile Details

NPI number 1902892094
LBN Legal business name Pringle, Kelly N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated May 20th, 2022 - about 4 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 1902892094 NPPES
Indiana Other 50015980 PASSPORT - CMA
Indiana MEDICAID 200878520 PASSPORT - CMA
Indiana Other 000000533403 PASSPORT - CMA
Indiana Other 090052 PASSPORT - CMA

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