Mcrae, Kelly Shannon

Mcrae, Kelly Shannon is an individual health care provider with primary practice located at 18051 River Ave Suite 200, Noblesville IN 46062-7091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcrae, Kelly Shannon can be contacted via phone (317) 773-0002.

Contact Information

Primary practice address
18051 River Ave Suite 200 Noblesville IN 46062-7091
Phone: (317) 773-0002
Fax: (317) 776-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000446A Indiana

Profile Details

NPI number 1275798332
LBN Legal business name Mcrae, Kelly Shannon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2008
Last updated Apr 21st, 2010 - about 16 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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