Individual provider · Type 1 NPI
Kelly Mike, NP
Adult Health Nurse Practitioner · Louisville, KY
NPI number
1073939468
Active
Practice location
1731 Dixie Hwy
Louisville, KY 40210-2313
Mailing address
PO Box 740017
Atlanta, GA 30374-0017
Other practice locations
- 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 · (502) 568-7366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 3008550 (KY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APN3008550 (KY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1073939468
Kelly Mike, NP's National Provider Identifier is 1073939468, issued on Mar 10, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Louisville, KY. The record was last updated on Aug 7, 2024.