Individual
MRS. KELLY CAROLINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
740 S LIMESTONE RM J442, LEXINGTON, KY 40536-0001
(859) 323-6426
Mailing address
4813 SPRING CREEK CIR, LEXINGTON, KY 40515-1526
(859) 333-8401
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20132534
KY
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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