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Individual

KRISTEN ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-7128
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
28205452A
IN

Other

Enumeration date
09/19/2021
Last updated
10/11/2023
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