Individual
KELLY L FOUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
489 S STATE ROAD 135 STE F, GREENWOOD, IN 46142-1407
(317) 887-7640
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001285A
IN
Other
Enumeration date
01/17/2013
Last updated
01/06/2026
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