Individual
DR. KATHLEEN ANNE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9002 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46260-5381
(317) 844-5530
(317) 844-5590
Mailing address
9002 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46260-5381
(317) 844-5530
(317) 844-5590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002257
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100329580
—
IN
Enumeration date
11/16/2005
Last updated
05/13/2008
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