Individual
KELLY CLINT CARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01064976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000824269
ANTHEM BCBS PIN
IN
05
—
201182630
—
IN
Enumeration date
05/21/2008
Last updated
03/08/2025
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