Organization
DIAGNOSTIC PATHOLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY Z BROWN MD (PARTNER)
(502) 456-6211
Entity
Organization
Contact information
Practice address
1220 MISSOURI AVE, PATHOLOGY DEPT, JEFFERSONVILLE, IN 47130-3725
(502) 456-6212
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6211
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
IN
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
KY
207ZC0500X
Cytopathology Physician
—
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526290
ANTHEM
IN
05
—
200856310A
—
IN
01
—
2857766000
PASSPORT ADVANTAGE
KY
01
—
50015820
PASSPORT
KY
05
—
7100009680
—
KY
01
—
DG2591
MEDICARE RR
KY
01
—
DG3419
MEDICARE RR
IN
Enumeration date
01/18/2007
Last updated
05/23/2023
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