Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Mike, NP

Individual provider Gerontology Nurse Practitioner · NPI 1073939468

Kelly Mike, NP is a Nurse Practitioner in Louisville, Kentucky. Graduated from Vanderbilt University School of Medicine in 2013, 13 years ago. Practices with Taylor Regional Medical Group LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
13
Trained at
Vanderbilt University School of Medicine
Licensed in
KY
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1731 Dixie Hwy
Louisville, KY 40210-2313
Phone: (502) 444-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 — (502) 568-7366

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN3008550 (KY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 3008550 (KY)

Record details

NPI number1073939468
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Taylor Regional Medical Group Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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