Individual
MS. AMBER LEE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
954 N SAMUEL MOORE PKWY STE C, MOORESVILLE, IN 46158-1475
(317) 834-5466
(317) 584-3794
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000324A
IN
Other
Enumeration date
05/17/2006
Last updated
07/06/2023
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