Individual
MRS. KELLY MICHELLE STICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 E GRAY ST, SUITE 900, LOUISVILLE, KY 40202-3900
(502) 584-7525
(502) 584-6851
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008810
KY
Other
Enumeration date
09/12/2014
Last updated
09/19/2024
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