Individual
MS. KELLIE LYN DUNKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN NP
Contact information
Practice address
451 S PARK RIDGE RD, SUITE 101, BLOOMINGTON, IN 47401-8589
(812) 331-8282
(812) 331-8283
Mailing address
451 S PARK RIDGE RD, SUITE 101, BLOOMINGTON, IN 47401-8589
(812) 331-8282
(812) 331-8283
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
28140084A
IN
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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