Individual
KELLI ANN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 E BROADWAY STE 103, LOUISVILLE, KY 40202-3700
(502) 629-5469
(502) 692-9546
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014331
KY
Other
Enumeration date
02/19/2020
Last updated
08/26/2024
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