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Individual

KELLY ONEAL HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-7150
(317) 274-2940
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002684A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300025713
IN
Enumeration date
05/13/2019
Last updated
05/20/2025
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