Individual
KELSEA CREASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6302 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6816
(502) 215-6300
Mailing address
6302 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6816
(502) 215-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TC875
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC875
TEMPORARY LICENSE
KY
Enumeration date
09/24/2019
Last updated
01/14/2026
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