person
Jennifer Kelly
Adult Health Nurse Practitioner in Louisville, Kentucky
NPI 1962804880

Jennifer Kelly is an Adult Health Nurse Practitioner based in Gahanna, KY and is specialized in Adult Health. Jennifer Kelly practices in Louisville, KY. The NPI Number for Jennifer Kelly is 1962804880 and holds a License No. 3008785 (Kentucky).

The current practice location address for Jennifer Kelly is 3841 Ruckriegel Pkwy, Louisville, KY and can be reached out via phone at 502-791-8700 and via fax at 502-742-8523.

Location: 3841 Ruckriegel Pkwy, Louisville, KY, 43230-6696
person
Provider Profile Details
NPI Number
1962804880
Provider Name
Jennifer Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
3841 Ruckriegel Pkwy, Louisville, KY, 43230-6696
Phone Number
502-791-8700
Fax Number
502-742-8523
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100365330 05 KY
institution
Provider Business Practice Location Address Details
Address
3841 Ruckriegel Pkwy
City
State
Zip
40299-3986
Phone Number
502-791-8700
Fax Number
502-742-8523
person
Provider Business Mailing Address Details
Address
3841 Ruckriegel Pkwy
City
State
Zip
40299-3986
Phone Number
502-791-8700
Fax Number
502-742-8523
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3008785 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
3008785 (Kentucky)
Definition
Definition to come...
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