Individual
SARAH GRACE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 RILEY HOSPITAL DR # 1, INDIANAPOLIS, IN 46202-5272
(317) 944-8896
Mailing address
350 MONON BLVD APT 261, CARMEL, IN 46032-2360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28265847A
IN
363LP0200X
Pediatric Nurse Practitioner
202325672
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71014871A
IN
Other
Enumeration date
08/29/2022
Last updated
02/09/2024
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