Individual
KELSEY MARIE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1550 E COUNTY LINE ROAD, SUITE 200, INDIANAPOLIS, IN 46227-0990
(317) 497-6497
(317) 497-6400
Mailing address
1550 E COUNTY LINE ROAD, SUITE 200, INDIANAPOLIS, IN 46227-0990
(317) 497-6497
(317) 497-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001232A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000719440
ANTHEM
IN
01
—
9793702
AETNA
IN
Enumeration date
01/03/2011
Last updated
11/01/2016
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