Individual
MRS. LAURA ELIZABETH KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1532 LONE OAK RD, SUITE 315, PADUCAH, KY 42003-7913
(270) 538-5880
(270) 538-5870
Mailing address
225 MEDICAL CENTER DR, SUITE 201, PADUCAH, KY 42003-7914
(270) 441-4200
(270) 441-4982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006389
KY
363L00000X
Nurse Practitioner
6389P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100117090
—
KY
Enumeration date
03/05/2010
Last updated
10/29/2019
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