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Individual

HEATHER P KELKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 962-3886
(317) 962-8652
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01079277A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01079277A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35-124393
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001115024
ANTHEM PTAN
IN
01
000001115030
ANTHEM PTAN
IN
01
000001116019
ANTHEM PTAN
IN
01
000001438438
ANTHEM PTAN
IN
05
300006823
IN
01
Q00034240
RAILROAD PTAN
IN
Enumeration date
06/23/2011
Last updated
03/12/2025
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