Individual
PAUL C CELESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST STE 900, LOUISVILLE, KY 40202-3905
(502) 584-7525
(502) 584-6851
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
0101253491
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
45221
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD207469
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08820221
—
MS
05
—
201109840
—
IN
05
—
2380893
—
LA
05
—
7100209390
—
KY
01
—
K058720
MEDICARE -NORTON LEATHERMAN SPINE
KY
Enumeration date
12/24/2007
Last updated
07/09/2024
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