Individual
KELLY LYNN OBRYAN-BUSZKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4596
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165364
KY
1041C0700X
Clinical Social Worker
Primary
253171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100490080
—
KY
Enumeration date
08/11/2010
Last updated
01/09/2026
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