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1972989267
STACEY L KELLEY
LOUISVILLE, KY
NPI
1972989267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3009353)
Enumeration Date
2015-08-10
Last Update Date
2021-01-19
Business Address
Mrs. STACEY L KELLEY FNP-C
3 AUDUBON PLAZA DR STE 560
LOUISVILLE, KY 40217-1300
Phone number: 502-567-2628
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Mailing Address
Mrs. STACEY L KELLEY FNP-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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