Individual
ELIZABETH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10401 LINN STATION RD, LOUISVILLE, KY 40223-3842
(502) 589-8600
Mailing address
4422 SARATOGA HILL RD, LOUISVILLE, KY 40299-4376
(502) 974-8063
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017225
KY
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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