Individual
MRS. KELLY LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2732 W MICHIGAN ST, INDIANAPOLIS, IN 46222-3750
(317) 554-4600
(317) 554-4617
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71012853A
IN
363LF0000X
Family Nurse Practitioner
Primary
3015886
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015886
STATE LICENSE
KY
01
—
71012853A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/08/2021
Last updated
09/24/2025
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