Individual
LYNN RAE KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP, FNP-C
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-3883
(812) 237-8246
Mailing address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-3883
(812) 237-8246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002444A
IN
363LP0200X
Pediatric Nurse Practitioner
71002444A
IN
Other
Enumeration date
10/13/2008
Last updated
07/02/2010
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