Individual provider · Type 1 NPI
Derrick E. Kelly
Driver · Indianapolis, IN
NPI number
1346974896
Active
Practice location
6517 Royal Oakland Dr
Indianapolis, IN 46236-4805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1346974896
Derrick E. Kelly's National Provider Identifier is 1346974896, issued on Jul 11, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 11, 2022.