Individual
KELLY DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9900 COLUMBIA AVE, MUNSTER, IN 46321-4008
(219) 924-3300
(219) 934-2658
Mailing address
PO BOX 3329, MUNSTER, IN 46321-0329
(219) 924-3300
(219) 934-2658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005868A
IN
Other
Enumeration date
10/26/2015
Last updated
02/12/2025
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