DR. TRACE KELLY, FNP-C, DC
Nurse Practitioner - Family
Active
Individual
NPI: 1629296603
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chiropractor - Rehabilitation | 111NR0400X | No | 4973 (KY) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 3015925 (KY) |
Frequently Asked Questions
NPI 1629296603 is the National Provider Identifier for DR. TRACE KELLY, FNP-C, DC, a Nurse Practitioner - Family provider located in Louisville, KY. This NPI was enumerated on April 23, 2007.
DR. TRACE KELLY, FNP-C, DC practices at 4613 ROXANN BLVD STE 101, Louisville, KY 40218.
Quick Facts
- NPI
- 1629296603
- Type
- Individual
- Enumerated
- Apr 23, 2007
- Last Updated
- Jul 7, 2021
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