Individual
DR. JOSEPH J CREELY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2831
(502) 425-5556
(502) 425-5655
Mailing address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2831
(502) 425-5556
(502) 425-5655
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
088562
LA
207Y00000X
Otolaryngology Physician
Primary
32074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000571067
BCBS
KY
01
—
20-4612802
TAX ID
KY
05
—
64320740
—
KY
Enumeration date
06/21/2005
Last updated
11/21/2024
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