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General NPI Number Information
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NPI Number | 1215500244
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Entity Type | Individual
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Provider Name | KELLY ANN NASON BA, MSSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 312 S 4TH ST STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3046
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | 1204 CLARK RIDGE RD
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City | FISHERVILLE
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State | KY
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Zip | 40023-9753
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Country | US
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Telephone | 502-667-6947
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 260530
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License Number State | KY
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