Individual
KELLY ANNE LEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8051 S EMERSON AVE STE 300, INDIANAPOLIS, IN 46237-8630
(317) 528-8494
(317) 528-7118
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28231757A
IN
363L00000X
Nurse Practitioner
71012263A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012263A
IN
Other
Enumeration date
02/08/2022
Last updated
10/11/2023
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