Bacon, Kelli Jo-Ann

Bacon, Kelli Jo-Ann is an individual health care provider with primary practice located at 1540 Trinity Pl , Mishawaka IN 46545-5006. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Bacon, Kelli Jo-Ann can be contacted via phone (574) 272-9000.

Contact Information

Primary practice address
1540 Trinity Pl Mishawaka IN 46545-5006
Phone: (574) 272-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 28188683A Indiana

Profile Details

NPI number 1558056655
LBN Legal business name Bacon, Kelli Jo-Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2023
Last updated Apr 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers