Individual
MS. BILLIE JEAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 RICHMOND RD, IRVINE, KY 40336-7231
(606) 723-7706
(606) 726-9410
Mailing address
PO BOX 636493, CINCINNATI, OH 45263-6493
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004077
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607850200
FEDERAL BLACK LUNG
KY
05
—
78010303
—
KY
Enumeration date
08/19/2006
Last updated
05/26/2015
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