Kelly Louis Grossman in Corydon - Family Medicine

Kelly Louis Grossman - NPI 1558359893

Kelly Louis Grossman is a Family Medicine in Corydon, Indiana. Kelly Louis Grossman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kelly Louis Grossman is 1558359893. The last update date is 2020-12-03.

Kelly Louis Grossman's current location address is 1263 Hospital Dr Nw, Corydon, Indiana. You can contact this provider via phone number 8127388136 and fax number 8127383155. The mailing address for Kelly Louis Grossman is 1263 Hospital Dr Nw, Corydon, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Louis Grossman
Address 1263 Hospital Dr Nw, Corydon, Indiana
Phone Number 8127388136
Fax Number 8127383155
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1558359893
Provider Enumeration Date 2005-10-11
Last Updated Date 2020-12-03

Provider Mailing Address Detail

Address 1263 Hospital Dr Nw
City Corydon
State Indiana (IN)
Post Code 471122172
Phone Number 8127388136
Fax Number 8127383155

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01048923A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00200004 IN RR MEDICARE
335255 IN ANTHEM
200266000 IN --

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FAQs about Kelly Louis Grossman

What is the Kelly Louis Grossman's unique identification number?

The Kelly Louis Grossman has been assigned the NPI (National Provider Identifier) Number 1558359893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kelly Louis Grossman is physically located?

The Kelly Louis Grossman is physically situated at the following address: 1263 Hospital Dr Nw, Corydon, IN, 471122172.

What is the Kelly Louis Grossman's area of specialization and corresponding taxonomy classification?

The Kelly Louis Grossman's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

What is Kelly Louis Grossman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Louis Grossman is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Kelly Louis Grossman receive its 1558359893 assignment from the Centers for Medicare & Medicaid Services?

The Kelly Louis Grossman was assigned its 1558359893 by the Centers for Medicare & Medicaid Services on 2005-10-11.

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