Individual
DR. KELLEN BO YUNG CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 E CHESTNUT ST UNIT 480, LOUISVILLE, KY 40202-5704
(502) 588-4740
(502) 588-9537
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
60181
MN
208800000X
Urology Physician
Primary
TP281
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010321
—
IN
05
—
7100569410
—
KY
01
—
K246190
MEDICARE
KY
Enumeration date
04/22/2011
Last updated
01/07/2019
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