MS. POLLY KAELIN MACKEY APRN
NPI 1063488690
Nurse Practitioner - Women's Health in Louisville, KY

Active since February 24, 2006
4100 TAYLOR BLVD, LOUISVILLE, KY 40215(502) 366-4747(502) 996-8309 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, May 16, 2018 (2 updates tracked since 2018).

About Ms. Polly Kaelin Mackey Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. POLLY KAELIN MACKEY APRN (NPI 1063488690) is an individual women's health provider in Louisville, Kentucky, licensed in Kentucky (3000536) and active in the NPI registry since February 2006. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1063488690
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. POLLY KAELIN MACKEYCredential: APRN
Location Address4100 TAYLOR BLVDLouisville, KY 40215-2342
Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 774-8631 · Fax (502) 778-3499
Fax(502) 996-8309
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1063488690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in KY · 3000536
4100 TAYLOR BLVD, Louisville, KY 40215

Secondary Practice Location 1

Location 12215 Portland AveLouisville, KY 40212-1033 · Phone (502) 774-8631 · Fax (502) 778-3499

Other Identifiers 1

Medicaid7800163300KY

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
Family Medicine
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
Clinic/Center (Federally Qualified Health Center (FQHC))
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
Social Worker (Clinical)
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
Social Worker (Clinical)
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
Pharmacist
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
General Practice
4100 TAYLOR BLVD
LOUISVILLE, KY 40215
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4100 TAYLOR BLVD
LOUISVILLE, KY 40215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polly Mackey's NPI number?

The NPI number for Polly Mackey is 1063488690. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Polly Mackey located?

Polly Mackey practices at 4100 Taylor Blvd, Louisville, KY 40215. The listed phone number is (502) 366-4747.

What is Polly Mackey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Polly Mackey was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.