KELLY DEATLEY, M.D.
Family Medicine
Active
Individual
NPI: 1467848952
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 51438 (KY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1467848952 is the National Provider Identifier for KELLY DEATLEY, M.D., a Family Medicine provider located in Lebanon, KY. This NPI was enumerated on April 10, 2015.
KELLY DEATLEY, M.D. practices at 325 W WALNUT ST STE 600, Lebanon, KY 40033.
Quick Facts
- NPI
- 1467848952
- Type
- Individual
- Enumerated
- Apr 10, 2015
- Last Updated
- Oct 10, 2025
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DR. ROBERT SMITH, D.M.D.
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MRS. JUDY KANTLEHNER, APRN
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