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Individual

KELLEY R. EASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, NP-C

Contact information

Practice address
189 OUTER LOOP, LOUISVILLE, KY 40214-5544
(502) 363-1731
(502) 364-9272
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004175
KY

Other

Enumeration date
08/04/2008
Last updated
04/01/2022
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