Kelly, Trace

Kelly, Trace is an sole proprietor health care provider with primary practice located at 4613 Roxann Blvd Ste 101 , Louisville KY 40218-4072. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kelly, Trace can be contacted via phone (502) 415-3943.

Contact Information

Primary practice address
4613 Roxann Blvd Ste 101 Louisville KY 40218-4072
Phone: (502) 415-3943
Fax: (502) 451-5041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 4973 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015925 Kentucky

Profile Details

NPI number 1629296603
LBN Legal business name Kelly, Trace
Credentials FNP-C, DC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 7th, 2021 - about 3 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.

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