Individual
KELLI MARIE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
836 N DETROIT ST, LAGRANGE, IN 46761-1112
(260) 499-3019
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 267-7169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010286A
IN
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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