Individual
STEPHEN J KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE 530, LOUISVILLE, KY 40217-1300
(502) 637-3311
(502) 637-3168
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64279326
—
KY
Enumeration date
04/07/2006
Last updated
01/19/2021
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