Individual
KYLIE M CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9465 COUNSELORS ROW, INDIANAPOLIS, IN 46240-6423
(202) 681-9661
Mailing address
1780 W COUNTY ROAD 850 N, LIZTON, IN 46149-9341
(618) 779-5073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71017744A
IN
Other
Enumeration date
02/11/2026
Last updated
02/12/2026
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