King, Shelly J

King, Shelly J is an individual health care provider with primary practice located at 705 Riley Hospital Dr Suite 4230, Indianapolis IN 46202-5109. 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 / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. King, Shelly J can be contacted via phone (317) 944-7411.

Contact Information

Primary practice address
705 Riley Hospital Dr Suite 4230 Indianapolis IN 46202-5109
Phone: (317) 944-7411
Fax: (317) 944-7481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001248A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71001248A Indiana

Profile Details

NPI number 1427044874
LBN Legal business name King, Shelly J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 12th, 2025 - about last year

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 1427044874 NPPES
Indiana Other 000000593125 ANTHEM PIN
Indiana MEDICAID 200366990 ANTHEM PIN

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