Mike, Kelly

Mike, Kelly is an individual health care provider with primary practice located at 12201 Bluegrass Pkwy , Louisville KY 40299-2361. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mike, Kelly can be contacted via phone (502) 568-7366.

Contact Information

Primary practice address
12201 Bluegrass Pkwy Louisville KY 40299-2361
Phone: (502) 568-7366
Fax: (502) 568-7114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN3008550 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3008550 Kentucky

Profile Details

NPI number 1073939468
LBN Legal business name Mike, Kelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2014
Last updated Apr 1st, 2024 - about 2 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.

Request for update

Popular Providers