Individual
KELLY CARLENE BELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9510 ORMSBY STATION RD, LOUISVILLE, KY 40223-4081
(502) 327-9100
Mailing address
109 KARA DR, BEREA, KY 40403-2107
(859) 661-5831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14254406
CAQH
—
Enumeration date
03/26/2018
Last updated
09/13/2018
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