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Kellie Planck
Nurse Practitioner in Gas City, Indiana
NPI 1144680679

Kellie Planck is a Nurse Practitioner based in Marion, IN. Kellie Planck practices in Gas City, IN. The NPI Number for Kellie Planck is 1144680679 and holds a License No. 71006172A (Indiana).

The current practice location address for Kellie Planck is 4781 Kaybee Drive, Gas City, IN and can be reached out via phone at 765-660-7840 and via fax at 765-671-3509.

Location: 4781 Kaybee Drive, Gas City, IN, 46952-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144680679
Provider Name
Kellie Planck
Credential
Provider Entity Type
Individual
Gender
Female
Address
4781 Kaybee Drive, Gas City, IN, 46952-2600
Phone Number
765-660-7840
Fax Number
765-671-3509
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000001008936 01 IN ANTHEM
201358080 05 IN
institution
Provider Business Practice Location Address Details
Address
4781 Kaybee Drive
City
Gas City
State
Indiana
Zip
46933-6607
Phone Number
765-660-7840
Fax Number
765-671-3509
person
Provider Business Mailing Address Details
Address
4781 Kaybee Drive
City
Gas City
State
Indiana
Zip
46933-6607
Phone Number
765-660-7840
Fax Number
765-671-3509
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71006172A (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71006172A (Indiana)
Definition
Definition to come...
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