Individual
KELLY JOANN BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6815
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01090471A
IN
208000000X
Pediatrics Physician
82589
SC
208000000X
Pediatrics Physician
LL82589
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01090471A
IN MEDICAL LICENSE
IN
01
—
82589
SC MEDICAL LICENSE
SC
Enumeration date
06/13/2019
Last updated
08/14/2023
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