Individual
LESLEY ANNE RAMOS KELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MALLARD CREEK RD, SUITE 300, LOUISVILLE, KY 40207-4194
(502) 855-6130
(502) 394-1968
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03976
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2012
Last updated
12/05/2016
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