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CLARE KELLY DOHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
NP

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-9700
Mailing address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-9700

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28229796A
IN
363L00000X
Nurse Practitioner
71016678A
IN
363LA2100X
Acute Care Nurse Practitioner
28229796A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71016678A
IN

Other

Enumeration date
05/26/2025
Last updated
08/20/2025
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