Individual
KILEY SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 E STOP 11 RD STE 200, INDIANAPOLIS, IN 46237-6341
(317) 528-1212
(317) 528-1252
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012323A
IN
363LF0000X
Family Nurse Practitioner
71012323A
IN
Other
Enumeration date
03/03/2022
Last updated
09/20/2023
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