Kelly, Katherine Monica

Kelly, Katherine Monica is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelly, Katherine Monica can be contacted via phone (812) 376-5016.

Contact Information

Primary practice address
2400 17Th St Columbus IN 47201-5351
Phone: (812) 376-5016
Fax: (812) 376-5928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 28122181A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000702A Indiana

Profile Details

NPI number 1659315315
LBN Legal business name Kelly, Katherine Monica
Credentials RN/NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 25th, 2024 - about 2 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 1659315315 NPPES
Indiana MEDICAID 200165720
Indiana MEDICAID 200165720A

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