Individual
MRS. KELLY LYNN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
929 E COMMERCIAL AVE, LOWELL, IN 46356-2307
(219) 233-5400
(219) 292-4100
Mailing address
801 MACARTHUR BLVD STE 401, MUNSTER, IN 46321-2919
(219) 836-7713
(219) 836-7083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005229A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102355858
ANTHEM
IN
05
—
300095489
—
IN
Enumeration date
06/02/2014
Last updated
05/27/2025
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