Individual
KELLY LYNN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4829 N STATE ROAD 1, HAGERSTOWN, IN 47346-9620
(765) 489-3935
(765) 489-6344
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28271694A
IN
363LF0000X
Family Nurse Practitioner
Primary
71018426A
IN
Other
Enumeration date
07/10/2026
Last updated
08/06/2026
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