Individual
RICHELE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(317) 614-9817
(317) 614-9655
Mailing address
PO BOX 6069 DEPT 87, INDIANAPOLIS, IN 46206-6069
(866) 282-7905
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01082200A
IN
Other
Enumeration date
06/03/2015
Last updated
06/07/2019
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