KELLY A JEDLICKI ARNP NPI 1528155314

NPI Information

NPI: 1528155314
Provider Name: KELLY A JEDLICKI, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3015 WILSON AVE
LOUISVILLE, KY
ZIP 40211
Phone: (502) 774-4401
Get Directions

Kelly A Jedlicki, ARNP is a pediatrics nurse practitioner in Louisville, KY. Kelly A Jedlicki, ARNP NPI is 1528155314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3015 WILSON AVE
LOUISVILLE, KY
ZIP 40211-969
Phone: (502) 774-4401
Fax: (502) 772-8983

The NPI 1528155314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 2/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1934P	KENTUCKY	No
2	363LP0200X	Nurse Practitioner	Pediatrics	3001937	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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