Individual
KELLY NICOLE HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2394
(270) 444-2972
Mailing address
1920 BROADWAY ST, PADUCAH, KY 42001-7106
(270) 442-3647
(270) 442-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008521
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100299860
—
KY
Enumeration date
03/18/2014
Last updated
12/07/2020
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