Individual provider · Type 1 NPI

Meredith Susanne Kelly

Primary Care Nurse Practitioner · Indianapolis, IN

NPI number 1295200574 Active

Practice location

5256 E 65th St
Indianapolis, IN 46220-4819

Fax (866) 202-5499

Mailing address

8954 Glass Chimney Ln
Fishers, IN 46037-9438

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71008472A (IN)
Primary Care Nurse Practitioner Primary 363LP2300X71008472A (IN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1295200574

Meredith Susanne Kelly's National Provider Identifier is 1295200574, issued on Oct 12, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 3, 2019.