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Kelly Renee Deatley, MD
Family Medicine Physician in Lebanon, Kentucky
NPI 1467848952

Kelly Renee Deatley is a Family Medicine Physician based in Lebanon, KY. Kelly Renee Deatley practices in Lebanon, KY and has the professional credentials of MD. The NPI Number for Kelly Renee Deatley is 1467848952 and holds a License No. R3750 (Kentucky).

The current practice location address for Kelly Renee Deatley is 325 W Walnut St Ste 600, Lebanon, KY and can be reached out via phone at 270-699-9500 and via fax at 270-699-9550.

Location: 325 W Walnut St Ste 600, Lebanon, KY, 40033-1378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467848952
Provider Name
Kelly Renee Deatley
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
325 W Walnut St Ste 600, Lebanon, KY, 40033-1378
Phone Number
270-699-9500
Fax Number
270-699-9550
Provider Enumeration Date
04/10/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100432940 05 KY
institution
Provider Business Practice Location Address Details
Address
325 W Walnut St Ste 600
City
Lebanon
State
Kentucky
Zip
40033
Phone Number
270-699-9500
Fax Number
270-699-9550
person
Provider Business Mailing Address Details
Address
325 W Walnut St Ste 600
City
Lebanon
State
Kentucky
Zip
40033
Phone Number
270-699-9500
Fax Number
270-699-9550
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R3750 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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