Individual
KELLI ANNE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1202 E CANVASBACK DR, TERRE HAUTE, IN 47802-5305
(812) 514-5429
Mailing address
4373 DARWIN RD, WEST TERRE HAUTE, IN 47885-9717
(812) 583-4616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009661A
IN
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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