Faillo, Kelly Kathleen

Faillo, Kelly Kathleen is an individual health care provider with primary practice located at 500 Thomas More Pkwy Ste 200, Crestview Hills KY 41017-3454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Faillo, Kelly Kathleen can be contacted via phone (859) 341-4842.

Contact Information

Primary practice address
500 Thomas More Pkwy Ste 200 Crestview Hills KY 41017-3454
Phone: (859) 341-4842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105470 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Kentucky

Profile Details

NPI number 1760798052
LBN Legal business name Faillo, Kelly Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Jun 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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