Individual
MICHAEL KELLYN THRALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7292
Mailing address
8170 CARMELITA CT, AVON, IN 46123-8879
(317) 509-9267
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28201523A
IN
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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