Individual
KELLEY CARRICO-WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11969 S DIXIE HWY, SONORA, KY 42776-9739
(270) 369-9706
(270) 369-9263
Mailing address
11969 S DIXIE HWY, SONORA, KY 42776-9739
(270) 369-9706
(270) 369-9263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6300P
KY
Other
Enumeration date
01/20/2010
Last updated
10/21/2010
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