NPI 1144231291

Ricky Stanley Collis, MD

Practitioner Pain Medicine Physician Louisville, KY

Practice location

Address: 315 E Broadway Suite 250, Louisville, KY 40202-3700
Phone: (502) 589-4765
Fax: (502) 589-4799

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 29814 (KY)

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Registry record

NPI: 1144231291
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2006
Record last updated: 10 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.