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NPI 1629056015 · live from the CMS NPI Registry

Kelley Burchell-Young, M.D.

Pediatrics in Florence, KY. National Provider Identifier 1629056015, active.

NPI record

NPI1629056015 Type 1 · individual
StatusActive
Primary specialtyPediatrics 208000000X
Practice location4885 Houston Rd Ste 101, Florence, KY 41042
Practice phone859-371-7400
EnumeratedJanuary 5, 2006
Last updatedJuly 2, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Adolescent Medicine2080A0000X38555 (KY)
Pediatrics, Adolescent Medicine2080A0000X35083903B (OH)
Pediatrics208000000X35083903B (OH)
Pediatrics primary208000000X38555 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.