Individual
YU-FAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST # 116P, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST # 116P, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
1668
KS
Other
Enumeration date
10/05/2007
Last updated
05/22/2013
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