Individual
KELLI MICHELE KAMOUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9295
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021117665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058863
—
IN
Enumeration date
01/08/2022
Last updated
08/23/2024
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