Individual
PAMELA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 AUDUBON PLAZA DRIVE MOB EAST, SUITE 110, LOUISVILLE, KY 40217-1363
(502) 636-8266
(502) 636-8260
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009813
KY
Other
Enumeration date
10/12/2015
Last updated
02/11/2016
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