Healthcare Provider Details

I. General information

NPI: 1952223745
Provider Name (Legal Business Name): JOURNEY DIRECTED HEALTHCARE CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 POINT PLEASANT RD
EMINENCE KY
40019-6580
US

IV. Provider business mailing address

2580 POINT PLEASANT RD
EMINENCE KY
40019-6580
US

V. Phone/Fax

Practice location:
  • Phone: 502-655-7194
  • Fax:
Mailing address:
  • Phone: 502-655-7194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA M KELLEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MSN, MBA, RN, CCM
Phone: 502-655-7194