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

Kelly Renee Deatley, MD

Individual provider Family Medicine Physician · NPI 1467848952

Kelly Renee Deatley, MD is a Family Practice in Lebanon, Kentucky. Graduated from University of Louisville School of Medicine in 2014, 12 years ago. Practices with Family and Internal Medicine Associates PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

325 W Walnut St Ste 600
Lebanon, KY 40033
Phone: (270) 699-9500
Fax: (270) 699-9550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 51438 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence R3750 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467848952
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Family And Internal Medicine Associates Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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