Brandon Kellie (NPI# 1649413063, PAC ID# 8527206655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1649413063 |
| PAC ID by PECOS | 8527206655 |
| Professional Enrollment ID | I20160906001050 |
| Full Name | Brandon Kellie |
| Organization Legal Name | LOUISVILLE PULMONARY CARE PLLC |
| Address |
1025 New Moody Lane Lagrange KY 40031-9154 |
| Phone Number | 5022223414 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 9830094309 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 180138 | BAPTIST HEALTH LAGRANGE |
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 1025 New Moody Lane, Lagrange, KY 40031-9154 | 5022223414 | LOUISVILLE PULMONARY CARE PLLC |
| 4000 Kresge Way, Louisville, KY 40207-4605 | 5028978100 | LOUISVILLE PULMONARY CARE PLLC |
| 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 | 5028997377 | LOUISVILLE PULMONARY CARE PLLC |
| Organization Legal Name | LOUISVILLE PULMONARY CARE PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendi Suzanne Haller | Nurse Practitioner | Louisville Pulmonary Care Pllc | 1023 New Moody Lane, Suite 202a, Lagrange, KY 40031-9177 |
| Anna Zelichenok | Nurse Practitioner | Louisville Pulmonary Care Pllc | 1025 New Moody Lane, Lagrange, KY 40031-9154 |
| Mark E Esterle | Pulmonary Disease | Louisville Pulmonary Care Pllc | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 |
| Scott P Kellie | Pulmonary Disease | Louisville Pulmonary Care Pllc | 1023 New Moody Lane, Suite 202a, Lagrange, KY 40031-9177 |
| Vinay Nidadavolu | Pulmonary Disease | Louisville Pulmonary Care Pllc | 1023 New Moody Lane, Suite 202a, Lagrange, KY 40031-9177 |
| Ervin Anaya | Pulmonary Disease | Louisville Pulmonary Care Pllc | 4000 Kresge Way, Louisville, KY 40207-4605 |
| Harold D Haller Jr. | Pulmonary Disease | Louisville Pulmonary Care Pllc | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 |
| John A Lloyd | Pulmonary Disease | Louisville Pulmonary Care Pllc | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 |
| Street Address |
1025 NEW MOODY LANE |
| City | LAGRANGE |
| State | KY |
| Zip | 40031-9154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Zelichenok | Nurse Practitioner | Louisville Pulmonary Care Pllc | 1025 New Moody Lane, Lagrange, KY 40031-9154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lagenia K Wright | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Sandra L Savage | Emergency Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Troy W Kaiser | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Taylor Lee Snyders | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Dennis Mcgill | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mary L Barresi | Internal Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Robert Hehre | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mika L Bates | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Lido Petrucci | Chiropractic | 301 S 1st St, Lagrange, KY 40031-1240 | |
| Laurence Preble | Chiropractic | 102 W Madison St, La Grange, KY 40031-1428 | |
| Find all physicians in zip 40031 | |||
| City | LAGRANGE |
| Zip Code | 40031 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | LAGRANGE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Brandon Kellie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.