Individual provider · Type 1 NPI

Kelly Sue Davis, AGPCNP-BC

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1588038475 Active

Practice location

6401 E Washington St
Indianapolis, IN 46219-6614

Call (317) 808-7085 Map

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 · (317) 962-8893

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X28146332A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1588038475

Kelly Sue Davis, AGPCNP-BC's National Provider Identifier is 1588038475, issued on Nov 16, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 14, 2021.