Kelly Mike
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
12201 Bluegrass Pkwy
Louisville
, Kentucky 40299-2361
Kelly Mike
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
12201 Bluegrass Pkwy
Louisville
, Kentucky 40299-2361
(502) 568-7114
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kelly Mike
- 12201 Bluegrass Pkwy
- Louisville, KY
- Zip : 40299-2361
- Fax : (502) 568-7114
- Phone : (502) 568-7366
Second Address
- Kelly Mike
- 12201 Bluegrass Pkwy
- Louisville, KY
- Zip : 40299-2361
- Fax : (502) 568-7114
- Phone : (502) 568-7366
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FAQs
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Where did Kelly Mike do her fellowship?
Is Kelly Mike board certified?
What type of doctor is Kelly Mike
In what state does Kelly Mike practice in?
Where is Kelly Mike ’s practice located?
What is Kelly Mike ’s gender?
Is Kelly Mike a sole practitioner?
Is Kelly Mike accepting new patients?
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Does Kelly Mike accept insurance?
Does Kelly Mike offers telemedicine?
What is Kelly Mike ’s professional license number?
What is Kelly Mike ’s NPI number?
Does Kelly Mike have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | APN3008550 | KY |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 3008550 | KY |
National Provider Identifier
| NPI | 1073939468 |
|---|---|
| Provider Name | Kelly Mike |
| First Address | Louisville, KY 40299-2361 |
| Second Address | Louisville, KY 40299-2361 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2014 |
| Last Update Date | 15/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.