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Kellie Conley

Nurse Practitioner in Radcliff, KY. Individual provider (NPI-1).

NPI number1669967808
StatusActive
Last updated in NPPESJun 29, 2018

Details

NPI
1669967808
Entity type
Individual (NPI-1)
Name
Kellie Conley
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2018
Last updated
Jun 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner3012455KYYes

Practice location

1679 N Wilson Rd Ste 110
Radcliff, KY 40160-1569

Phone 270-272-0000 · Fax 270-352-2530

Mailing address

1679 N Wilson Rd Ste 110
Radcliff, KY 40160-1569

Phone 270-272-0000 · Fax 270-352-2530

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