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Individual

MRS. KELLY A POPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
676 S FLOYD ST STE 200, LOUISVILLE, KY 40202-1840
(026) 292-5005
(602) 629-4445
Mailing address
PO BOX 776347, DEPT 86156, CHICAGO, IL 60677-6347
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002616
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200881290
IN
05
7100027650
KY
01
K046481
MEDICARE
KY
Enumeration date
09/16/2006
Last updated
11/11/2024
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