Search › Kentucky › 363LA2200X
Kelly Mike, NP
NPI 1073939468 · on the registry since 2014
Practice
- Address
- 1731 Dixie Hwy
Louisville, KY 40210 - Phone
- (502) 444-6016
- Organisation at this address
- Nova Physician Group Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 12201 Bluegrass Pkwy, Louisville, KY
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky