Provider Demographics
NPI:1902655210
Name:KELLY, ADRIANA IRENE (APRN)
Entity type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:IRENE
Last Name:KELLY
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:3691 RABBITS FOOT TRL APT 8
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3772
Mailing Address - Country:US
Mailing Address - Phone:502-939-4331
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST WHITNEY HENDRICKSON BLDG STE 331A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7001
Practice Address - Country:US
Practice Address - Phone:859-323-5553
Practice Address - Fax:859-323-1602
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-07-22
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Provider Licenses
StateLicense IDTaxonomies
KY1167428163W00000X
KY4023085363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse