Kelley, Sandra Tracey

Kelley, Sandra Tracey is an individual health care provider with primary practice located at 845 Angliana Ave , Lexington KY 40508-3146. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelley, Sandra Tracey can be contacted via phone (859) 323-9321.

Contact Information

Primary practice address
845 Angliana Ave Lexington KY 40508-3146
Phone: (859) 323-9321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1264 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 3003542 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003542 Kentucky

Profile Details

NPI number 1699813212
LBN Legal business name Kelley, Sandra Tracey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Jun 28th, 2019 - about 6 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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