Individual
MRS. STACEY L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3 AUDUBON PLAZA DR, STE 560, LOUISVILLE, KY 40217-1300
(502) 567-2628
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009353
KY
Other
Enumeration date
08/10/2015
Last updated
01/19/2021
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