Individual
KELSEY JUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3101 BEAUMONT CENTRE CIR STE 100, LEXINGTON, KY 40513-1959
(859) 323-5544
(859) 257-9286
Mailing address
2653 BRADEN WAY, LEXINGTON, KY 40509-8571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2737
KY
363AM0700X
Medical Physician Assistant
PA2737
KY
363AS0400X
Surgical Physician Assistant
PA2737
KY
Other
Enumeration date
02/07/2021
Last updated
07/02/2024
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