Individual
KELLI L ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9301 MADISON ST, CROWN POINT, IN 46307-7745
(219) 662-5065
Mailing address
9301 MADISON ST, CROWN POINT, IN 46307-7745
(219) 662-5065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28126405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290230
—
IN
Enumeration date
09/22/2005
Last updated
08/16/2013
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