Individual
MS. POLLY KAELIN MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4100 TAYLOR BLVD, LOUISVILLE, KY 40215-2342
(502) 366-4747
(502) 996-8309
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 774-8631
(502) 778-3499
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3000536
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800163300
—
KY
Enumeration date
02/24/2006
Last updated
06/16/2018
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