Individual provider · Type 1 NPI

Michael Kellyn Thralls

Critical Care Medicine Registered Nurse · Indianapolis, IN

NPI number 1609764554 Active

Practice location

1402 E County Line Rd
Indianapolis, IN 46227-0963

Mailing address

8170 Carmelita Ct
Avon, IN 46123-8879

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X28201523A (IN)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1609764554

Michael Kellyn Thralls's National Provider Identifier is 1609764554, issued on Jun 26, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 26, 2025.