Individual
DR. KELLEY BURCHELL-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 CAVALIER BLVD, FLORENCE, KY 41042-1684
(859) 371-7400
(859) 371-8472
Mailing address
1342 BRIGHTLEAF BLVD, EDGEWOOD, KY 41018-3822
(859) 371-7400
(859) 371-8472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35083903B
OH
208000000X
Pediatrics Physician
Primary
38555
KY
2080A0000X
Pediatric Adolescent Medicine Physician
35083903B
OH
2080A0000X
Pediatric Adolescent Medicine Physician
38555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64087471
—
KY
Enumeration date
01/05/2006
Last updated
03/10/2016
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