Individual provider · Type 1 NPI

Kelly S. Vanbussum, NP

Nurse Practitioner · Louisville, KY

NPI number 1417266958 Active

Practice location

1850 Bluegrass Ave Ste 4th
Louisville, KY 40215-1161

Fax (502) 367-3365

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X6647P (KY)
Nurse Practitioner Primary 363L00000X3006647 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417266958

Kelly S. Vanbussum, NP's National Provider Identifier is 1417266958, issued on Oct 1, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Louisville, KY. The record was last updated on Feb 25, 2019.