Individual
KELLY ELIZABETH DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
14509 BEXLEY DR, CARMEL, IN 46033-8577
(317) 590-3882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004014A
IN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/25/2023
Last updated
11/21/2024
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