Individual
DR. KELLY J ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5415 BRACKEN DR, INDIANAPOLIS, IN 46239-7844
(317) 667-6442
Mailing address
5415 BRACKEN DR, INDIANAPOLIS, IN 46239-7844
(317) 667-6442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010585A
IN
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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