Individual provider · Type 1 NPI

Holly R. Kelly, N.P.

Nurse Practitioner · Plymouth, IN

NPI number 1750630786 Active

Practice location

2855 Miller Dr Ste 121B
Plymouth, IN 46563-8091

Call (574) 522-0265 Map

Fax (574) 406-0025

Mailing address

211 N Eddy St
South Bend, IN 46617-2808

Other practice locations

  • 111 N Nappanee St, Elkhart, IN 46514-1957 · (574) 522-0265

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71004121A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1750630786

Holly R. Kelly, N.P.'s National Provider Identifier is 1750630786, issued on Sep 6, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, IN. The record was last updated on May 14, 2026.