Trace Kelly is a Rehabilitation in Louisville, Kentucky. Trace Kelly practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Trace Kelly is 1629296603. The last update date is 2021-07-07.
Trace Kelly's current location address is 4227 Poplar Level Rd, Louisville, Kentucky. You can contact this provider via phone number 5024515959. The mailing address for Trace Kelly is 4227 Poplar Level Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Trace Kelly |
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Address | 4227 Poplar Level Rd, Louisville, Kentucky |
Phone Number | 5024515959 |
Fax Number | |
Sole Proprietor | Y |
Credentials | FNP-C, DC |
NPI Number Detail
NPI Number | 1629296603 |
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Provider Enumeration Date | 2007-04-23 |
Last Updated Date | 2021-07-07 |
Provider Mailing Address Detail
Address | 4227 Poplar Level Rd |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 402131527 |
Phone Number | 5024515959 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation |
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Taxonomy | 111Nr0400X |
Licence No | 4973 |
Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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What is the unique identifier code issued to Trace Kelly by the Centers for Medicare & Medicaid Services?
The Trace Kelly has been assigned the NPI (National Provider Identifier) 1629296603. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Trace Kelly's physical address?
The Trace Kelly is physically located at 4227 Poplar Level Rd, in the city of Louisville, KY, with the postal code 402131527.
What is Trace Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Trace Kelly's area of specialization is Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 111Nr0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629296603 to Trace Kelly?
The Centers for Medicare & Medicaid Services assigned the 1629296603 to Trace Kelly on 2007-04-23.
When was the information related to Trace Kelly most recently updated or refreshed?
The details pertaining to the Trace Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-07.