Kiesler, Kelley R

Kiesler, Kelley R is an individual health care provider with primary practice located at 3900 Kresge Way Ste 51 , Louisville KY 40207-4683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kiesler, Kelley R can be contacted via phone (502) 259-5955.

Contact Information

Primary practice address
3900 Kresge Way Ste 51 Louisville KY 40207-4683
Phone: (502) 259-5955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001828A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004367 Kentucky

Profile Details

NPI number 1609863786
LBN Legal business name Kiesler, Kelley R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 7th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609863786 NPPES
Kentucky Other P00263361 RR MCR
Kentucky MEDICAID 200499170 RR MCR
Kentucky MEDICAID 78013224 RR MCR

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