Individual provider · Type 1 NPI

Kelsey L. Kmiecik, NP

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1790023372 Active

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Fax (317) 944-0282

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 225 E Chicago Ave, Box 57, Chicago, IL 60611-2991 · (312) 227-4030

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71007825A (IN)
Pediatric Nurse Practitioner 363LP0200X209.010123 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1790023372

Kelsey L. Kmiecik, NP's National Provider Identifier is 1790023372, issued on Jan 16, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on May 1, 2025.