Individual
ERIKA KEITHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2355 POPLAR LEVEL RD STE 200, LOUISVILLE, KY 40217-1385
(502) 891-8300
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9425
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3016909
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3016909
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100786210
—
KY
Enumeration date
10/27/2021
Last updated
02/08/2024
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