Search › Kentucky › 363LF0000X
Trace Kelly, FNP-C, DC
NPI 1629296603 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4613 Roxann Blvd Ste 101
Louisville, KY 40218 - Phone
- (502) 415-3943
- Fax
- (502) 451-5041
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 111NR0400X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-07
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