Individual
KELLY E KRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 7TH AVE, BOWLING GREEN, KY 42101
(270) 846-4800
(270) 846-4828
Mailing address
PO BOX 9880, BOWLING GREEN, KY 42102-9880
(270) 846-4800
(270) 846-4828
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1869901
—
KY
Enumeration date
07/12/2006
Last updated
07/10/2019
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