Individual
KELLY MARIE BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 105, INDIANAPOLIS, IN 46260
(317) 582-8290
Mailing address
8402 HARCOURT RD STE 105, INDIANAPOLIS, IN 46260-2006
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
01078349A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
04/06/2012
Last updated
06/02/2022
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