Individual
JOHN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Mailing address
739 CAMPBELL AVE, INDIANAPOLIS, IN 46219-6003
(317) 466-1000
(317) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002327A
IN
Other
Enumeration date
03/23/2007
Last updated
11/16/2007
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