Individual
CHLOE KELLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 ROSE ST, LEXINGTON, KY 40536
(859) 323-5000
Mailing address
1520 CLIFTON RD, ATLANTA, GA 30322-4201
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
4015006
KY
163WX0002X
High-Risk Obstetric Registered Nurse
4015006
KY
163WX0003X
Inpatient Obstetric Registered Nurse
4015006
KY
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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