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Individual
DR. TRACE KELLY
Active
Individual
DR. TRACE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C, DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
4973
KY
363LF0000X
Family Nurse Practitioner
Primary
3015925
KY
Other
Enumeration date
04/23/2007
Last updated
07/07/2021
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