Burchell-Young, Kelley
Burchell-Young, Kelley is an individual health care provider with primary practice located at 45 Cavalier Blvd , Florence KY 41042-1684. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Burchell-Young, Kelley can be contacted via phone (859) 371-7400.Contact Information
Primary practice address
45 Cavalier Blvd
Florence KY 41042-1684
Phone: (859) 371-7400
Fax: (859) 371-8472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38555 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35083903B | Ohio |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 38555 | Kentucky |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35083903B | Ohio |
Profile Details
| NPI number | 1629056015 |
|---|---|
| LBN Legal business name | Burchell-Young, Kelley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Mar 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629056015 | NPPES |
| Kentucky | MEDICAID | 64087471 |
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