Individual
DR. KELLY WINSTON FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 3RD ST, SUITE 180, IMPERIAL BUILDING, HENDERSON, KY 42420-2993
(270) 827-3573
(270) 827-1250
Mailing address
2000 N ELM ST STE 1B, HENDERSON, KY 42420-2385
(270) 844-8144
(270) 844-8145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01040820A
IN
208000000X
Pediatrics Physician
Primary
22605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64226053
—
KY
Enumeration date
11/20/2006
Last updated
06/25/2013
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