Individual
KAILEY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8051 S EMERSON AVE, INDIANAPOLIS, IN 46237-8600
(317) 865-3600
Mailing address
8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
(317) 865-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28211631A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017549
—
IN
Enumeration date
06/08/2018
Last updated
07/31/2026
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