MEDICARE: KELSIE O CAIN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	3013158	KY
2	363L00000X	Nurse Practitioner	3013258	KY
3	363L00000X	Nurse Practitioner	71007827A	IN
4	363LF0000X	Family Nurse Practitioner	71007827A	IN

General Provider Information

NPI Number	:	1144728965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSIE O CAIN APRN

Provider Business Mailing Address
First Line	:	6200 DUTCHMANS LN STE 200
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3285
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6655

Provider Business Practice Location Address
First Line	:	502 HAUSFELDT LN
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-2221
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2018
Last Update Date	:	02/02/2026

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Directions to “ KELSIE O CAIN APRN” Practice Location

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