Individual
MRS. KELLY MARIE PESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(502) 624-0252
Mailing address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(502) 624-0252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA718
KY
Other
Enumeration date
01/26/2007
Last updated
11/18/2014
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