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Individual

MR. MICHAEL JAMES KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8019 DIXIE HWY STE 101, LOUISVILLE, KY 40258-1303
(502) 333-3121
(502) 333-3131
Mailing address
8019 DIXIE HWY STE 101, LOUISVILLE, KY 40258-1303
(502) 333-3121
(502) 333-3131

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101263657
VA
207R00000X
Internal Medicine Physician
Primary
32484
KY
208000000X
Pediatrics Physician
0101263657
VA
208000000X
Pediatrics Physician
32484
KY

Other

Enumeration date
06/27/2006
Last updated
11/06/2020
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