Individual
KELSEY HOPE PERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 W 16TH ST STE 2800, INDIANAPOLIS, IN 46202-2279
(317) 963-7300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244262A
IN
363L00000X
Nurse Practitioner
Primary
28244262A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28244262A
REGISTERED NURSE LICENSE
IN
01
—
71012141A
APRN PRESCRIPTIVE AUTHORITY
IN
01
—
71012141B
CSR PRESCRIPTIVE AUTHORITY
IN
Enumeration date
01/24/2022
Last updated
07/05/2022
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