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Organization
CROSSROADS HEALING ARTS, LLC
Active
Organization
CROSSROADS HEALING ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY J BOYER WHCNP (NURSE PRACTITIONER/OWNER)
(574) 294-1883
Entity
Organization
Contact information
Practice address
1004 PARKWAY AVE, SUITE C, ELKHART, IN 46516-9326
(574) 294-1883
(574) 295-1749
Mailing address
1004 PARKWAY AVE, SUITE C, ELKHART, IN 46516-9326
(574) 294-1883
(574) 295-1749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1067015A
IN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
02002929A
IN
363LW0102X
Women's Health Nurse Practitioner
71001272
IN
Other
Enumeration date
05/18/2011
Last updated
02/12/2015
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