Individual
KELLY J BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 DR MARTIN LUTHER KING JR ST, INDIANAPOLIS, IN 46208-5019
(317) 931-4300
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000568239
ANTHEM
IN
05
—
200900770
—
IN
Enumeration date
05/23/2008
Last updated
04/09/2026
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