Individual
MRS. KAREN RAE KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
9805 GEIST CROSSING DR, INDIANAPOLIS, IN 46256-4819
(612) 659-7111
Mailing address
1520 FRIENDSHIP DR, INDIANAPOLIS, IN 46217-4428
(317) 888-1115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28072059A
IN
363LF0000X
Family Nurse Practitioner
71000355A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000355B
IN
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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