Provider Demographics
NPI:1689110801
Name:KELLEY, NANCY ANN (CSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:KELLEY
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 EAST MAIN STREET
Mailing Address - Street 2:TRAININGS UNLIMITED
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361
Mailing Address - Country:US
Mailing Address - Phone:859-340-9119
Mailing Address - Fax:
Practice Address - Street 1:37 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2007
Practice Address - Country:US
Practice Address - Phone:859-340-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7147104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker