Individual provider · Type 1 NPI

Kelli Joy Bovenkerk, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1285184481 Active

Practice location

3834 S Emerson Ave, Building C, Suite 100
Indianapolis, IN 46203

Call (775) 222-0044 Map

Fax (888) 700-0187

Mailing address

PO Box 3299
Carson City, NV 89702-3299

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	71006606A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1285184481

Kelli Joy Bovenkerk, NP's National Provider Identifier is 1285184481, issued on Oct 12, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 3, 2018.