Individual
CYNA KHALILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, SUITE 604, LOUISVILLE, KY 40202-3900
(502) 629-5633
(502) 629-5580
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000634077
ANTHEM - NOTC (B&J)
KY
01
—
000052152M
HUMANA - NOTC (B&J)
KY
01
—
108676
SIHO - NOTC (B&J)
KY
05
—
200181350
—
IN
01
—
2443211000
PASSPORT ADVANTAGE
KY
01
—
3241175
CIGNA - NOTC (B&J)
KY
01
—
3745094000
PASSPORT ADVANTAGE - NOTC (B&J)
KY
01
—
50001643
PASSPORT
KY
01
—
50026229
PASSPORT - NOTC (B&J)
KY
05
—
64315559
—
KY
01
—
P00290683
RR MEDICARE
—
01
—
P00833212
RR MEDICARE NOTC (B&J)
KY
Enumeration date
08/30/2006
Last updated
04/12/2024
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