DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1497710693

NPI Code Detail

MEDICARE: KELLEY M. MCINTYRE MD

MEDICARE: KELLEY M. MCINTYRE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RB0002X	Obesity Medicine (Internal Medicine) Physician	36930	KY
2	207R00000X	Internal Medicine Physician	36930	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110235754	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012818	OTHER	KY	SIHO / NCMA
2	1165398	OTHER	KY	PASSORT / NCM A
4	000000225552	OTHER	KY	ANTHEM / NCMA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000023029E	OTHER	KY	HUMANA / NCMA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	2439944000	OTHER	KY	PASSPORT ADVANTAGE

General Provider Information

NPI Number	:	1497710693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEY M. MCINTYRE MD

Provider Business Mailing Address
First Line	:	PO BOX 776351
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6351
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	3 AUDUBON PLAZA DR STE LL2
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40217-1360
Country	:	US
Telephone Number	:	502-636-8095
Fax Number	:	502-636-8097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	05/19/2022

Similar Medicare Providers

1376667741 — DR. DUANE WESLEY DENSLER MD
Practice Location Address:

3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY
40217-1360

Practice Phone: 502-583-1697
Practice Fax: 502-583-2120

1700019114 — MARGARET COX RD, LD, CDE
Practice Location Address:

3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY
40217-1360

Practice Phone: 502-636-8095
Practice Fax: 502-636-8097

1235454083 — RYAN T. FIELDS MD
Practice Location Address:

3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY
40217-1360

Practice Phone: 502-636-8095
Practice Fax: 502-636-8097

1942614987 — COURTNEY R ARZA PA-C
Practice Location Address:

3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY
40217-1360

Practice Phone: 502-637-3311
Practice Fax: 502-637-3168

1336535301 — DR. IVY LEWIS M.D.
Practice Location Address:

3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY
40217-1360

Practice Phone: 502-637-3311
Practice Fax: 502-637-3168

1861923914 — DOMENIC CRANER MD
Practice Location Address:

3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY
40217-1360

Practice Phone: 502-636-4940
Practice Fax: 502-636-4941

Directions to “ KELLEY M. MCINTYRE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.