Individual
MRS. KAELYN MICHELE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-1000
Mailing address
346 SINGLETON WAYNESBURG RD, EUBANK, KY 42567-8593
(606) 271-7631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14075517
CAQH
—
05
—
7100505230
—
KY
Enumeration date
07/31/2017
Last updated
09/28/2018
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