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Contact Information

RICKY S COLLIS, MD
315 E BROADWAY
SUITE 250
LOUISVILLE, KY40202-3700
 Phone: 502-589-4765
 Fax: 502-589-4799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for RICKY S COLLIS · (Male)

NPI Number 1144231291
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 07/10/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 29814
  • IN Medicaid 200137520A
  • KY Medicaid 1058769
  • KY Medicaid 64298144
  • Other 0005382490 AETNA
  • Other 000000043722 ANTHEM
Hospital affiliation(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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