Bethany Kelly, LGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC159 Issued in KY

Practice address

3470 Blazer Pkwy Ste 200
Lexington, KY 40509-1887

Phone

(859) 629-7117

Fax

(859) 685-0161

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1447809074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 COPPER CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141276",
            "telephone_number": "859-537-4595",
            "fax_number": "859-685-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 BLAZER PKWY STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091887",
            "telephone_number": "859-629-7117",
            "fax_number": "859-685-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BETHANY",
        "credential": "LGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "KY",
            "license": "GC159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ann Kellum, DNP
• Adriana Irene Kelly, APRN
• Alexandra Renee Kelly, PH.D., HSP
• Amanda Catherine Kelly, PA-C
• Bailey Kelly
• David Robert Kelly, M.D.
• Grace Kelly
• John David Kelly, PT
• Judith Flore Kelly, APRN
• Kimberly Kelly, CADC

• Genetic Counselor (M.S.) in Lexington, KY
• Providers in Lexington, KY by specialty
• Genetic Counselor (M.S.) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.