Individual
STEPHANIE RAE KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 RING RD, ELIZABETHTOWN, KY 42701-8968
(270) 765-2107
(270) 769-9642
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3012197
KY
Other
Enumeration date
03/23/2018
Last updated
08/22/2024
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