Organization
NEUROLOGY CARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY J. PARNELL MD (PHYSICIAN ADMINISTRATOR)
(765) 939-7711
Entity
Organization
Contact information
Practice address
1911 CHESTER BLVD, RICHMOND, IN 47374-0000
(765) 939-7711
(765) 939-1841
Mailing address
1911 CHESTER BLVD, RICHMOND, IN 47374-0000
(765) 939-7711
(765) 939-1841
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01022975A
IN
2084N0400X
Neurology Physician
Primary
01050034A
IN
2084N0400X
Neurology Physician
01063768A
IN
2084N0400X
Neurology Physician
50004846A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212580
—
IN
05
—
200817940
—
IN
05
—
200817940A
—
IN
Enumeration date
05/24/2006
Last updated
04/28/2010
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