Individual
JOHN KING CELLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 948-6742
Mailing address
1919 STATE ST STE 324, NEW ALBANY, IN 47150-6807
(812) 945-7536
(812) 945-7542
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
01031466
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059445
BLUE SHIELD
IN
01
—
I007921
CHAMPUS
IN
Enumeration date
07/07/2006
Last updated
07/08/2007
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