Individual
KAYLA D DOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-7728
(317) 274-2940
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28234172A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71011883A
IN
Other
Enumeration date
11/12/2020
Last updated
11/28/2022
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