Individual
NICOLE KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3632 N DEQUINCY ST, INDIANAPOLIS, IN 46218-1639
(317) 701-0820
Mailing address
3632 N DEQUINCY ST, INDIANAPOLIS, IN 46218-1639
(317) 701-0820
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
334532651
IN
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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