Provider Demographics
NPI:1497905277
Name:TURSANY, KELLY HARVEY (MSW, MED, LISW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:HARVEY
Last Name:TURSANY
Suffix:
Gender:F
Credentials:MSW, MED, LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 LAKE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-1374
Mailing Address - Country:US
Mailing Address - Phone:859-635-0550
Mailing Address - Fax:
Practice Address - Street 1:116 LAKE PARK DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:KY
Practice Address - Zip Code:41001-1374
Practice Address - Country:US
Practice Address - Phone:859-635-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00077071041C0700X
KY20871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical