Individual
KELLEY ELAINE METCALFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
795 SIM HODGIN PKWY, RICHMOND, IN 47374-1928
(765) 966-5949
(765) 962-6268
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71012019A
IN
207R00000X
Internal Medicine Physician
APRN.CNP.0030437
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0030437
OH
Other
Enumeration date
01/06/2022
Last updated
04/07/2022
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