Individual
DR. KELLY ANN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ZORN AVE, GERIATRICS AND EXTENDED CARE, VA MEDICAL CENTER, LOUISVILLE, KY 40206-1433
(502) 287-5995
Mailing address
800 ZORN AVE, GERIATRICS AND EXTENDED CARE, VA MEDICAL CENTER, LOUISVILLE, KY 40206-1433
(502) 287-5995
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
43848
KY
Other
Enumeration date
10/02/2007
Last updated
05/16/2013
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