Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Trace Kelly, FNP-C, DC

Individual provider Rehabilitation Chiropractor · NPI 1629296603

Dr. Trace Kelly, FNP-C, DC is a Rehabilitation Chiropractor in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4613 Roxann Blvd Ste 101
Louisville, KY 40218-4072
Phone: (502) 415-3943
Fax: (502) 451-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3015925 (KY)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 4973 (KY)

Record details

NPI number1629296603
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C , DC
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

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