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Individual

ELLEN MARGARET KRESCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
705 RILEY HOSPITAL DR STE 2514, INDIANAPOLIS, IN 46202-5109
(317) 948-0345
(317) 948-0939
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10002625A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
074790058
MEDICARE
IN
05
300018945
IN
05
300025053
IN
Enumeration date
02/07/2019
Last updated
12/18/2025
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