Individual
KATHLEEN KELLI CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8424 NAAB RD STE 1L, INDIANAPOLIS, IN 46260-1954
(317) 338-7780
Mailing address
8424 NAAB RD STE 1L, INDIANAPOLIS, IN 46260-1954
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71007306A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71007306A
IN
Other
Enumeration date
05/30/2017
Last updated
10/11/2023
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