Individual
MRS. KELLY L WILLBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3026 POPLAR LEVEL RD, LOUISVILLE, KY 40217-1301
(502) 636-4929
(502) 394-3629
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5063
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002097
IN
Other
Enumeration date
03/20/2006
Last updated
09/05/2024
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