| Kelsey Danielle Pehlke, | |
| 
					1707 Cedar Grove Rd Ste 10, Shepherdsville, KY 40165-8572  | |
| (502) 543-3246 | |
| Not Available | 
| Full Name | Kelsey Danielle Pehlke | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1707 Cedar Grove Rd Ste 10, Shepherdsville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013637420 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3017840 (Kentucky) | Primary | 
| Entity Name | Kiosk Medicine Kentucky Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127  | 
| Entity Name | University Of Louisville Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelsey Danielle Pehlke, Po Box 909, Louisville, KY 40201-0909 Ph: () -  | Kelsey Danielle Pehlke, 1707 Cedar Grove Rd Ste 10, Shepherdsville, KY 40165-8572 Ph: (502) 543-3246  | 
Kaelin Jansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 Overhill Dr, Business Office, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844  | |
Stephanie Leigh Houin, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Joe B Hall Ave, Shepherdsville, KY 40165 Phone: 502-955-6447  | |
Ms. Maressa Coley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6302 Highway 44 E, Shepherdsville, KY 40165 Phone: 502-572-9019  | |
Mrs. Carla Brewer, DNP, MSN-APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Business Office, 802 Overhill Dr, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844  | |
Amber Jane Allen,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Cedar Place Dr, Shepherdsville, KY 40165 Phone: 502-649-2571  | |
Tarah D Wafzig, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 187 Adam Shepherd Pkwy Ste 5, Shepherdsville, KY 40165 Phone: 502-543-4119 Fax: 502-543-1462  |