Individual
KELLY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6564 SKY DR, SCHERERVILLE, IN 46375-1951
(219) 228-0021
Mailing address
6564 SKY DR, SCHERERVILLE, IN 46375-1951
(219) 228-0021
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
25019561
IN
Other
Enumeration date
11/06/2025
Last updated
11/07/2025
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