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:
Health care specialties
| Specialty | Code | License # | 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 7 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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