Stephanie Rae Kelty, APRN | |
1301 Ring Rd, Elizabethtown, KY 42701-8968 | |
(270) 765-2107 | |
(270) 769-9642 |
Full Name | Stephanie Rae Kelty |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1301 Ring Rd, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003310921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0200X | Nurse Practitioner - Pediatrics | 3012197 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
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Stephanie Rae Kelty, APRN Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Stephanie Rae Kelty, APRN 1301 Ring Rd, Elizabethtown, KY 42701-8968 Ph: (270) 765-2107 |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162 | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488 | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Ms. Kristen Renee Ryan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1230 Woodland Dr Ste 207, Elizabethtown, KY 42701 Phone: 270-600-7001 Fax: 270-600-7002 | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 |