Individual
KELLY ELISE MCCONATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
(859) 323-1080
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
(859) 257-7987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4195P
KY
364S00000X
Clinical Nurse Specialist
4195P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78011194
—
KY
Enumeration date
06/01/2009
Last updated
04/17/2012
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