Individual
DR. CAITILIN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3161 S HIGHPOINT LN, BLOOMINGTON, IN 47401-9605
(812) 287-8788
(812) 333-0725
Mailing address
3161 S HIGHPOINT LN, BLOOMINGTON, IN 47401-9605
(812) 287-8788
(812) 333-0725
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01034177
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10018446A
—
IN
Enumeration date
11/07/2006
Last updated
02/20/2015
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