Individual
MR. NICHOLAS PATRICK KELP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(765) 376-6551
Mailing address
540 W LADD AVE, BLOOMINGTON, IN 47403-4388
(812) 332-0716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007828A
IN
Other
Enumeration date
04/16/2007
Last updated
08/04/2021
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