Provider Demographics
NPI:1164999793
Name:KARNES, KELSEY INEZ (PT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:INEZ
Last Name:KARNES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 ROYAL TROON RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8480
Mailing Address - Country:US
Mailing Address - Phone:270-564-9837
Mailing Address - Fax:
Practice Address - Street 1:162 OLD TODDS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1336
Practice Address - Country:US
Practice Address - Phone:859-654-0119
Practice Address - Fax:859-652-3903
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007558225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist