STEPHANIE RAE KELTY


Address: 4123 Dutchmans Ln Ste 301, Louisville, KY 40207
Phone: 5028962500

STEPHANIE RAE KELTY (NPI# 1003310921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003310921
Entity Type Individual
Full Name STEPHANIE RAE KELTY
Credential APRN
Practice Address 4123 Dutchmans Ln Ste 301
Louisville
KY 40207
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5028962500
Practice Fax Number 5028962527
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2018-03-23
Last Update Date 2019-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
3012197 KY Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE KELTY

NPI Name Taxonomy Address Enumeration
1851798201 Stephanie Kelty Counselor 515 28 3/4 Rd, Grand Junction, CO 81501-5016 2014-12-01

Office Location

Street Address 4123 DUTCHMANS LN STE 301
City LOUISVILLE
State KY
Zip Code 40207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144298316 Ketan C Mehta Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2006-03-14
1275167629 Jennifer L Kiel Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2020-02-25
1710523634 Emily Michelle Anguiano Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2019-11-26
1063055002 Synthia Heffernan Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2019-10-22
1235630039 Kimberly Dawn Walker Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2018-02-27
1013433366 Mary Kathleen Lanoue Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2017-08-18
1699137729 Kyle Hawkins Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2016-03-28
1316323900 Sherri Lynn Lammerding Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2015-08-05
1871910331 Kayla Nicole Evans-judd Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2014-03-23
1487953675 Shannon Kelly Evans Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2011-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
Find all providers in zip 40207

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326695255 Norton Childrens Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2019-08-26
1407402209 Elleanor Gray Nurse Practitioner 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 2019-08-16
1245287440 Tammy A Pasko Nurse Practitioner 234 E. Gray St., Ste. 270, Louisville, KY 40202-1903 2006-05-31
1013988351 Kellie Woodruff Nurse Practitioner 411 E Chestnut St # Street7, Louisville, KY 40202-1713 2006-01-26
1639172554 Sharon C Metcalf Nurse Practitioner 555 S Floyd St, Louisville, KY 40202-3801 2005-05-24
1619582616 Erica Ashley Persichetti Nurse Practitioner 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 2020-09-15
1295361723 Karen A Powers Nurse Practitioner 411 E Chestnut St # Street7, Louisville, KY 40202-1713 2020-03-16
1346872074 Elizabeth Cotton Nurse Practitioner 231 E Chestnut St, Louisville, KY 40202-1821 2020-02-11
1336771161 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2020-02-10
1689206906 Lacey G Sanford Nurse Practitioner 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 2020-02-05
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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