Individual
DINA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4037 N PARK AVE, INDIANAPOLIS, IN 46205-2740
(317) 722-7377
Mailing address
4037 N PARK AVE, INDIANAPOLIS, IN 46205-2740
(317) 722-7377
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
22-015680-1
IN
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
About Stedi
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