Individual
DR. KELSEY LODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD STE 310, INDIANAPOLIS, IN 46202-1196
(317) 957-2233
(317) 275-3640
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01087975A
IN
208000000X
Pediatrics Physician
01087975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300065288
—
IN
Enumeration date
05/29/2018
Last updated
11/02/2023
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