Individual
DR. EDWIN S CHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(812) 526-1135
(812) 526-1768
Mailing address
9 WISHING WELL CT, SIMPSONVILLE, SC 29681-4963
(630) 363-5065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-111266
IL
207Q00000X
Family Medicine Physician
430-10-72926
MI
207QA0505X
Adult Medicine Physician
Primary
37525
SC
Other
Enumeration date
04/04/2007
Last updated
06/13/2016
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