Individual
KAILEY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143
(317) 885-3793
(317) 885-3799
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
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
01/14/2022
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