Individual
MRS. CARLA JEAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-9564
(502) 868-4961
(502) 868-4998
Mailing address
1625 SHORT STONEY RD, CARLISLE, KY 40311-9151
(859) 749-3802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
KY2994P
KY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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