Individual
KIESHA D CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6008 MAGDALENE DR APT B, INDIANAPOLIS, IN 46224-8055
(317) 384-9962
Mailing address
6008 MAGDALENE DR APT B, INDIANAPOLIS, IN 46224-8055
(317) 384-9962
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27082186A
IN
251J00000X
Nursing Care Agency
—
IN
253Z00000X
In Home Supportive Care Agency
—
IN
3747A0650X
Attendant Care Provider
—
IN
376J00000X
Homemaker
—
IN
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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