Individual
MRS. KELLY ANN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7200
Mailing address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7200
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28166397A
IN
363LF0000X
Family Nurse Practitioner
Primary
28166397A
IN
Other
Enumeration date
05/23/2013
Last updated
05/03/2019
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