Individual
KATIE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
101 S HARDING ST APT 109, INDIANAPOLIS, IN 46222-4507
(219) 742-6473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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