Individual
CHELSEA KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7910 E WASHINGTON ST STE 110, INDIANAPOLIS, IN 46219
(317) 355-3201
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002504A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017150
—
IN
Enumeration date
06/14/2018
Last updated
05/10/2022
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