Individual
KELLY L DAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 852-4989
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5817
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38609
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491210
—
IN
01
—
38609
STATE LICENSE
KY
05
—
64083405
—
KY
Enumeration date
12/02/2005
Last updated
03/03/2026
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