Sandra Tracey Kelley
Addiction Counselor (Substance Use Disorder) Internist - Addiction Medicine Nurse Practitioner - Family Medicine
845 Angliana Ave
Lexington
, Kentucky 40508-3146
Sandra Tracey Kelley
Addiction Counselor (Substance Use Disorder) Internist - Addiction Medicine Nurse Practitioner - Family Medicine
845 Angliana Ave
Lexington
, Kentucky 40508-3146
(859) 273-3774
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Internist - Addiction Medicine
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Sandra Tracey Kelley
- 801 Forest Lake Dr
- Lexington, KY
- Zip : 40515-6299
- Phone : (859) 273-3774
Second Address
- Sandra Tracey Kelley
- 845 Angliana Ave
- Lexington, KY
- Zip : 40508-3146
- Phone : (859) 323-9321
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1264 | KY |
| N | 207RA0401X | Internist - Addiction Medicine | 3003542 | KY |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3003542 | KY |
National Provider Identifier
| NPI | 1699813212 |
|---|---|
| Provider Name | Sandra Tracey Kelley |
| First Address | Lexington, KY 40515-6299 |
| Second Address | Lexington, KY 40508-3146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2007 |
| Last Update Date | 28/06/2019 |
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.