Kelli G Applegate MD LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1040811 Issued in IN

Legal business name

KELLI G APPLEGATE MD LLC

Practice address

727 Mount Tabor Rd
Suite B
New Albany, IN 47150-6951

Phone

(812) 948-2776

Fax

(812) 948-2722

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelli G Applegate, MD

Title

Physician

Phone

(812) 948-2776

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1487877429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 MOUNT TABOR RD",
            "address_2": "SUITE B",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506951",
            "telephone_number": "812-948-2776",
            "fax_number": "812-948-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MOUNT TABOR RD",
            "address_2": "SUITE B",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506951",
            "telephone_number": "812-948-2776",
            "fax_number": "812-948-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI G APPLEGATE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-948-2776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IN",
            "license": "1040811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Marie Keeling, MD
• Laura Keinsley, MA CCC-SLP
• Chelsea Z Kellams, APRN
• Nathan Keller
• Kasey Kelley
• Sean M Kellihan, APRN
• Jadore Kelly, DOULA (CPD)
• Stewart Craig Kelly, PA-C
• Dru Kelton
• Deborah D Kelty, RNFA

• All providers in New Albany, IN
• Preferred Provider Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.