Individual
MRS. KELLIE MARIE LISBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
515 HOSPITAL DR STE 1, SHELBYVILLE, KY 40065-1619
(026) 333-5255
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009992
KY
Other
Enumeration date
01/11/2016
Last updated
08/20/2024
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