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Kelly L Burrough, NP
Nurse Practitioner in Indianapolis, Indiana
NPI 1144276890

Kelly L Burrough is a Nurse Practitioner based in Indianapolis, IN. Kelly L Burrough practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Kelly L Burrough is 1144276890 and holds a License No. 71000164A (Indiana).

The current practice location address for Kelly L Burrough is 1095 Broad Ripple Ave, Indianapolis, IN and can be reached out via phone at 317-621-3731 and via fax at 317-621-4037.

Location: 1095 Broad Ripple Ave, Indianapolis, IN, 46250-2890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144276890
Provider Name
Kelly L Burrough
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1095 Broad Ripple Ave, Indianapolis, IN, 46250-2890
Phone Number
317-621-3731
Fax Number
317-621-4037
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200945510 05 IN
000000542085 01 IN ANTHEM
P01227319 01 IN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1095 Broad Ripple Ave
City
Indianapolis
State
Indiana
Zip
46220-2034
Phone Number
317-621-3731
Fax Number
317-621-4037
person
Provider Business Mailing Address Details
Address
1095 Broad Ripple Ave
City
Indianapolis
State
Indiana
Zip
46220-2034
Phone Number
317-621-3731
Fax Number
317-621-4037
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71000164A (Indiana)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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