O'Shaughnessey, Kelly B

O'Shaughnessey, Kelly B is an individual health care provider with primary practice located at 13250 Hazel Dell Pkwy Ste 104 , Carmel IN 46033-8527. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. O'Shaughnessey, Kelly B can be contacted via phone (317) 415-6900.

Contact Information

Primary practice address
13250 Hazel Dell Pkwy Ste 104 Carmel IN 46033-8527
Phone: (317) 415-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71006481A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006481A Indiana

Profile Details

NPI number 1720531734
LBN Legal business name O'Shaughnessey, Kelly B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Jul 18th, 2023 - about 3 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 1720531734 NPPES
Indiana MEDICAID 201385430

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