Individual provider · Type 1 NPI

Trace Kelly, FNP-C, DC

Family Nurse Practitioner · Louisville, KY

NPI number 1629296603 Active

Practice location

4613 Roxann Blvd Ste 101
Louisville, KY 40218-4072

Call (502) 415-3943 Map

Fax (502) 451-5041

Mailing address

4227 Poplar Level Rd
Louisville, KY 40213-1527

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Chiropractor 111NR0400X4973 (KY)
Family Nurse Practitioner Primary 363LF0000X3015925 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1629296603

Trace Kelly, FNP-C, DC's National Provider Identifier is 1629296603, issued on Apr 23, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Jul 7, 2021.