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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRACE KELLY, FNP-C, DC

Active Sole Proprietor

DR. TRACE KELLY, FNP-C, DC is a Family Nurse Practitioner healthcare provider located in LOUISVILLE, Kentucky. NPI 1629296603 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LOUISVILLE, KY

Registration Details

NPI Number
1629296603
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2007 (19.295855101704 yrs)
Last Updated
Jul 7, 2021
Licenses
4973 (KY)
3015925 (KY)
Sole Proprietor
Yes

Practice Information

Address
4613 ROXANN BLVD STE 101
LOUISVILLE, KY, 402184072
Browse KY providers · Browse ZIP 40218
Phone
5024153943
Fax
5024515041
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in LOUISVILLE, KY

Name Credential NPI
KIMBERLY CHRISTINE CASHION APRN 1396749156
LOIS OBERT A.R.N.P. 1336143288
PAMELA ALVEY APRN 1407850142
MRS. NINA MICHAEL FULKERSON APRN 1134123649
MS. ANGELA D MULLINS A.P.R.N. 1578568390
GWENDOLYN HAYES RINKER APRN 1801892500
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.