Kellee D Frogge, Md,psc | |
410 Hotchkiss St Campbellsville KY 42718-1340 | |
(270) 465-0191 | |
(270) 465-0463 |
Full Name | Kellee D Frogge, Md,psc |
---|---|
Speciality | Family Medicine |
Location | 410 Hotchkiss St, Campbellsville, Kentucky |
Authorized Official Name and Position | Kellee D Frogge (MD) |
Authorized Official Contact | 2704650191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kellee D Frogge, Md,psc 410 Hotchkiss St Campbellsville KY 42718-1340 Ph: (270) 465-0191 | Kellee D Frogge, Md,psc 410 Hotchkiss St Campbellsville KY 42718-1340 Ph: (270) 465-0191 |
NPI Number | 1851504906 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 4183723117 |
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Medicare Enrollment ID | O20070615000422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851504906 | NPI | - | NPPES |
64042393 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36533 (Kentucky) | Primary |
Provider Name | Kellee D Frogge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467434928 PECOS PAC ID: 5698874618 Enrollment ID: I20070615000358 |
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