Individual
KELLY COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 N MONROE ST, BLOOMINGTON, IN 47404-2141
(812) 929-0428
Mailing address
1905 N MONROE ST, BLOOMINGTON, IN 47404-2141
(812) 929-0428
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/30/2020
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