Individual
KELLY KAYE LOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, SUITE 201, COVINGTON, KY 41011-0801
(859) 655-4111
(859) 655-4815
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-4111
(859) 655-4815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006975
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059482
—
OH
05
—
7100182000
—
KY
01
—
P01010094
RAILROAD MEDICARE
KY
Enumeration date
06/28/2011
Last updated
09/10/2018
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