Individual
JAMES PAUL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 257-5150
(859) 257-8675
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA058
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002176
—
KY
Enumeration date
03/21/2007
Last updated
07/08/2007
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