# CROSSROADS HEALING ARTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295028694
- **Authorized official:** MS. KELLY J BOYER WHCNP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (574) 294-1883

## Contact information

- **Practice address:** 1004 PARKWAY AVE, SUITE C, ELKHART, IN 46516-9326
- **Practice address phone:** (574) 294-1883
- **Practice address fax:** (574) 295-1749
- **Mailing address:** 1004 PARKWAY AVE, SUITE C, ELKHART, IN 46516-9326
- **Mailing address phone:** (574) 294-1883
- **Mailing address fax:** (574) 295-1749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1067015A | IN | Yes |
| 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