Individual
KELE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4498
Mailing address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28222915C
IN
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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