Individual
KELLI COELINE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3908 MEADOWS DR, INDIANAPOLIS, IN 46205-3114
(317) 957-2150
(317) 957-2160
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008850A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023697
—
IN
Enumeration date
03/12/2019
Last updated
11/02/2023
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