MS. KELLEY KETTERMAN BA, MED
NPI 1063870434
Counselor - Addiction (Substance Use Disorder) in Louisville, KY

Active since February 01, 2016
9702 STONESTREET RD, LOUISVILLE, KY 40272(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2022, Feb 1, 2016 (2 updates tracked since 2016).

About Ms. Kelley Ketterman Ba, Med NPPES

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

MS. KELLEY KETTERMAN BA, MED (NPI 1063870434) is an individual addiction (substance use disorder) provider in Louisville, Kentucky, licensed in Kentucky (273669) and active in the NPI registry since February 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063870434
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KELLEY KETTERMANCredential: BA, MED
Location Address9702 STONESTREET RDLouisville, KY 40272-6808
Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (833) 510-4357 · Fax (866) 460-2997
Fax(866) 460-2997
Sole ProprietorYes
Enumeration DateFebruary 1, 2016
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
NPI 1063870434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KY · 273669
9702 STONESTREET RD, Louisville, KY 40272

Secondary Practice Locations 2

Location 17509 Charlestown PikeCharlestown, IN 47111-9623 · Phone (812) 256-4686 ext. 140 · Fax (812) 256-4415
Location 2615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · Phone (833) 510-4357 · Fax (866) 460-2997

Other Providers at the Same Location NPPES 20

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

Pediatrics
9702 STONESTREET RD, STE 100
LOUISVILLE, KY 40272
Nurse Practitioner (Psychiatric/Mental Health)
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272
Social Worker (Clinical)
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272
Social Worker (Clinical)
9702 STONESTREET RD
LOUISVILLE, KY 40272
Social Worker (Clinical)
9702 STONESTREET RD, #110
LOUISVILLE, KY 40272
Counselor
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272
Marriage & Family Therapist
9702 STONESTREET RD
LOUISVILLE, KY 40272
Counselor
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272

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 Kelley Ketterman's NPI number?

The NPI number for Kelley Ketterman is 1063870434. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Kelley Ketterman located?

Kelley Ketterman practices at 9702 Stonestreet Rd, Louisville, KY 40272. The listed phone number is (833) 510-4357.

What is Kelley Ketterman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelley Ketterman was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.