Individual
KELLI A KUTRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8920 SOUTHPOINTE DR, SUITE A-1, INDIANAPOLIS, IN 46227-7509
(317) 881-8161
(317) 881-8151
Mailing address
8920 SOUTHPOINTE DR, SUITE A-1, INDIANAPOLIS, IN 46227-7509
(317) 881-8161
(317) 881-8151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011647A
IN
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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