Kelley, Deborah

Kelley, Deborah is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kelley, Deborah can be contacted via phone (317) 338-2345.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Phone: (317) 338-2345
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000455A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000455A Indiana

Profile Details

NPI number 1225012677
LBN Legal business name Kelley, Deborah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 6th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225012677 NPPES
Indiana MEDICAID 200193950

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