Individual
DR. KELLY L GELARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6985 W 38TH ST STE 100, INDIANAPOLIS, IN 46254-3918
(317) 243-0028
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002226A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201164050
—
IN
Enumeration date
01/08/2007
Last updated
06/17/2024
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