Individual
NICHOLAS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1311 W 96TH ST STE 110, INDIANAPOLIS, IN 46260-1172
(317) 217-9967
Mailing address
3843 MEADOW SIDE CT, ZIONSVILLE, IN 46077-7810
(317) 217-9967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013861A
IN
Other
Enumeration date
04/28/2023
Last updated
02/23/2026
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