Kelly, Karen Rae
Kelly, Karen Rae is an individual health care provider with primary practice located at 9805 Geist Crossing Dr , Indianapolis IN 46256-4819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Karen Rae can be contacted via phone (612) 659-7111.Contact Information
Primary practice address
9805 Geist Crossing Dr
Indianapolis IN 46256-4819
Phone: (612) 659-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28072059A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000355B | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000355A | Indiana |
Profile Details
| NPI number | 1447245436 |
|---|---|
| LBN Legal business name | Kelly, Karen Rae |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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