# MS. KELLEY R KIESLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609863786
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3004367 | KY | Yes |
| 363L00000X | Nurse Practitioner | 71001828A | IN | — |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 12/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200499170 | — | IN |
| 05 | — | 78013224 | — | KY |
| 01 | — | P00263361 | RR MCR | KY |