DR. KILEY KATHERINE SOUTHALL MD
NPI 1922741859
Student in an Organized Health Care Education/Training Program in Louisville, KY
About Dr. Kiley Katherine Southall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KILEY KATHERINE SOUTHALL MD (NPI 1922741859) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kiley Katherine Southall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kiley Southall's NPI number?
The NPI number for Kiley Southall is 1922741859. It was assigned to this individual provider in the NPPES registry on April 19, 2022.
Where is Kiley Southall located?
Kiley Southall practices at 530 S Jackson St Fl 3, Louisville, KY 40202. The listed phone number is (502) 852-1732.
What is Kiley Southall's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kiley Southall enrolled in Medicare?
Yes. Kiley Southall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kiley Southall was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kiley Katherine Southall, MD · NPI 1922741859
Student in an Organized Health Care Education/Training Program provider in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since April 19, 2022.
## Identity
- **NPI:** 1922741859 (Entity type: Individual)
- **Enumerated:** April 19, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 530 S JACKSON ST FL 3, Louisville, KY 40202-1675
- **Phone:** (502) 852-1732
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922741859) · Data from the CMS NPPES public registry.