Individual
KELLY FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1074
(317) 957-9064
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
06/03/2021
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