Individual provider · Type 1 NPI

Kelly Renee Deatley, MD

Family Medicine Physician · Lebanon, KY

NPI number 1467848952 Active

Practice location

325 W Walnut St Ste 600
Lebanon, KY 40033

Call (270) 699-9500 Map

Fax (270) 699-9550

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XR3750 (KY)
Family Medicine Physician Primary 207Q00000X51438 (KY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

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About NPI 1467848952

Kelly Renee Deatley, MD's National Provider Identifier is 1467848952, issued on Apr 10, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lebanon, KY. The record was last updated on Oct 10, 2025.