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General NPI Number Information
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NPI Number | 1447783634
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Entity Type | Individual
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Provider Name | BARBARA G KELLY MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1868 W HEBRON LN STE 301
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-7494
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Country | US
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Telephone | 502-957-2084
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Fax | 270-659-5851
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone |
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Fax | 270-659-5851
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53839
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License Number State | KY
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