Individual provider · Type 1 NPI

Kelly L. Foutch, PA

Physician Assistant · Greenwood, IN

NPI number 1043558596 Active

Practice location

489 S State Road 135 Ste F
Greenwood, IN 46142-1407

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10001285A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043558596

Kelly L. Foutch, PA's National Provider Identifier is 1043558596, issued on Jan 17, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenwood, IN. The record was last updated on Jan 6, 2026.