Individual
KAY ELLEN PITSILIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8075 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2693
(317) 621-8500
Mailing address
12910 TRADD ST, CARMEL, IN 46032-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008771A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024261
—
IN
Enumeration date
01/17/2019
Last updated
07/15/2026
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