Individual
KELLY E CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12563 STATE ROAD 23, GRANGER, IN 46530-9226
(574) 335-8300
(574) 335-0775
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012221A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102193309
ANTHEM BCBS
IN
05
—
300064808
—
IN
Enumeration date
03/08/2022
Last updated
04/06/2026
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