Carla Jean Kelley, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

KY2994P Issued in KY

Practice address

1001 Cherry Blossom Way
Georgetown, KY 40324-9564

Phone

(502) 868-4961

Fax

(502) 868-4998

NPI assigned

Nov 16, 2006

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982777165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SHORT STONEY RD",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119151",
            "telephone_number": "859-749-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHERRY BLOSSOM WAY",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249564",
            "telephone_number": "502-868-4961",
            "fax_number": "502-868-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CARLA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "KY2994P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Justice
• Morgan Siobhan Justice
• Madison Nicole Kach
• Travis Kach
• Anne G Keenan, CSW
• Carolyn Kelley
• Mechelle Kelley, RN
• Kelly Burgess M.D.
• Cheryl Lynn Kennedy
• Kentucky Anesthesia Group, PSC

• Family Nurse Practitioner in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.