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NPI 1679074215 · Specialist · Prospect, KY
Provider details
- NPI number
- 1679074215
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kellie Sheehy, Nurse Practitioner(502) 767-8224
Specialties & taxonomies
Other Service Providers
Practice location
9503 Norton Commons Blvd
Prospect, KY 40059
Phone: (502) 767-8224
Approximate (ZIP-level) locationGet directions
Mailing address
9503 Norton Commons Blvd
Prospect, KY 40059-7522
Additional practice locations (1)
- 9414 Norton Commons Blvd Unit 201Prospect, KY 40059-6573Phone: (502) 767-8224
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2018-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.