Individual provider · Type 1 NPI

Jennifer Kelly

Adult Health Nurse Practitioner · Louisville, KY

NPI number 1962804880 Active

Practice location

3841 Ruckriegel Pkwy
Louisville, KY 40299-3986

Call (502) 791-8700 Map

Fax (502) 742-8523

Mailing address

600 Cross Pointe Rd, Suite A
Gahanna, OH 43230-6696

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X3008785 (KY)
Adult Health Nurse Practitioner Primary 363LA2200X3008785 (KY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1962804880

Jennifer Kelly's National Provider Identifier is 1962804880, issued on Sep 23, 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 Oct 23, 2020.