Individual
KELLY JO CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P.
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4575
(812) 842-4549
Mailing address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4575
(812) 842-4549
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
2010006352
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
71003817A
IN
Other
Enumeration date
02/25/2010
Last updated
07/31/2019
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