Individual
KELLEY M BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
315 N DAN JONES RD STE 150, PLAINFIELD, IN 46168-2848
(317) 781-7328
(317) 839-0973
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000283A
IN
363AM0700X
Medical Physician Assistant
10000283A
IN
Other
Enumeration date
07/25/2006
Last updated
12/20/2022
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