Individual
MARITZA KELESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
753 VEGAS VALLEY DR, LAS VEGAS, NV 89109-1528
(702) 249-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61067
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/27/2023
Last updated
01/21/2026
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