Individual
GRETCHEN MARY KEESLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8111 S EMERSON AVE STE 105, INDIANAPOLIS, IN 46237-8601
(317) 528-5500
(317) 528-6316
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28182978A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71017720A
IN
Other
Enumeration date
01/09/2026
Last updated
03/10/2026
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