DR. KELLY SEGARS MD PHARMD NPI 1700954567

NPI Information

NPI: 1700954567
Provider Name: DR. KELLY SEGARS, MD, PHARMD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
PECOS Registration: Yes
Address: 530 S JACKSON ST # C07
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-9845

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NPI Details

DR. Kelly Segars, MD, PHARMD is a student in an organized health care education training program in Louisville, KY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kelly Segars, MD, PHARMD NPI is 1700954567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

530 S JACKSON ST # C07
LOUISVILLE, KY
ZIP 40202-675
Phone: (502) 852-9845

The NPI 1700954567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 4/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	183500000X	Pharmacist	11493	SOUTH CAROLINA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		VIRGINIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program		KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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