Michael J Kellis in Cincinnati - Sports Medicine
Michael J Kellis - NPI 1831190313
Michael J Kellis is a Sports Medicine in Cincinnati, Ohio. Michael J Kellis practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael J Kellis is 1831190313. The last update date is 2023-11-02.
Michael J Kellis's current location address is 6480 Harrison Ave Ste 201, Cincinnati, Ohio. You can contact this provider via phone number 4402854999 and fax number 4402855870. The mailing address for Michael J Kellis is 6480 Harrison Ave Ste 201, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Kellis |
|---|---|
| Address | 6480 Harrison Ave Ste 201, Cincinnati, Ohio |
| Phone Number | 4402854999 |
| Fax Number | 4402855870 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1831190313 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2023-11-02 |
Provider Mailing Address Detail
| Address | 6480 Harrison Ave Ste 201 |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452477961 |
| Phone Number | 4402854999 |
| Fax Number | 4402855870 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 34004183 |
|
Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139662 | OH | ANTHEM | |
| 250006704 | OH | RR MEDICARE | |
| 658051 | OH | -- | |
| 4073792 | OH | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael J Kellis by the Centers for Medicare & Medicaid Services?
The Michael J Kellis has been issued the NPI (National Provider Identifier) 1831190313, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael J Kellis's physical address?
The Michael J Kellis is physically located at 6480 Harrison Ave Ste 201, in the city of Cincinnati, OH, with the postal code 452477961.
What is Michael J Kellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael J Kellis's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rs0010X.
When did the Michael J Kellis receive its 1831190313?
The Michael J Kellis was issued its 1831190313 on 2005-08-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Michael J Kellis most recently updated or revised?
The information pertaining to Michael J Kellis, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-02.
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