| Kellee D Frogge, Md,psc | |
|
410 Hotchkiss St Campbellsville KY 42718-1340 | |
| (270) 465-0191 | |
| (270) 465-0463 |
| Full Name | Kellee D Frogge, Md,psc |
|---|---|
| Speciality | Family Medicine |
| Location | 410 Hotchkiss St, Campbellsville, Kentucky |
| Authorized Official Name and Position | Kellee D Frogge (MD) |
| Authorized Official Contact | 2704650191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellee D Frogge, Md,psc 410 Hotchkiss St Campbellsville KY 42718-1340 Ph: (270) 465-0191 | Kellee D Frogge, Md,psc 410 Hotchkiss St Campbellsville KY 42718-1340 Ph: (270) 465-0191 |
| NPI Number | 1851504906 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 4183723117 |
|---|---|
| Medicare Enrollment ID | O20070615000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851504906 | NPI | - | NPPES |
| 64042393 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36533 (Kentucky) | Primary |
| Provider Name | Kellee D Frogge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467434928 PECOS PAC ID: 5698874618 Enrollment ID: I20070615000358 |
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