Individual
KELLEN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 W 56TH ST, INDIANAPOLIS, IN 46254-9725
(317) 808-5284
Mailing address
310 W MICHIGAN ST APT 145, INDIANAPOLIS, IN 46202-3224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002087A
IN
Other
Enumeration date
03/27/2014
Last updated
07/21/2022
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