Individual
KYLIE RANARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
533 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1074
(317) 957-9050
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007650A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11022365A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300063993
—
IN
Enumeration date
04/07/2022
Last updated
07/29/2025
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