Individual
GWENDA KELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28123433A
IN
163WM0102X
Maternal Newborn Registered Nurse
28123433A
IN
163WN0002X
Neonatal Intensive Care Registered Nurse
28123433A
IN
163WN0003X
Low-Risk Neonatal Registered Nurse
28123433A
IN
163WN1003X
Nutrition Support Registered Nurse
28123433A
IN
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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