Individual
KELLI J FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290-1028
(317) 583-7800
Mailing address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002801A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540466
MEDICARE PTAN
IN
Enumeration date
09/16/2019
Last updated
07/11/2025
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