Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RENEE DEATLEY, M.D.
ActiveKELLY RENEE DEATLEY, M.D. is a Family Medicine healthcare provider located in LEBANON, Kentucky. NPI 1467848952 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LEBANON, KY
Registration Details
- NPI Number
- 1467848952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2015 (11.16255973988 yrs)
- Last Updated
- Oct 10, 2025
- Licenses
-
R3750 (KY)51438 (KY)
Practice Information
- Address
-
325 W WALNUT ST STE 600LEBANON, KY, 40033Browse KY providers · Browse ZIP 40033
- Phone
- 2706999500
- Fax
- 2706999550
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in LEBANON, KY
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN FRASER SCOTT | M.D. | 1548242613 |
| DR. RICHARD VAUGHN STEEVES | M.D. | 1700868882 |
| DR. MICHELLE JO LEATHERS | M.D. | 1093797185 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.