person
Dean M Kelly, ANP
Occupational Health Nurse Practitioner in Lafayette, Indiana
NPI 1639209174

Dean M Kelly is a Occupational Health Nurse Practitioner based in Lafayette, IN and is specialized in Occupational Health. Dean M Kelly practices in Lafayette, IN and has the professional credentials of ANP. The NPI Number for Dean M Kelly is 1639209174 and holds a License No. 71000948B (Indiana).

The current practice location address for Dean M Kelly is 3218 Daugherty Dr Ste 140, Lafayette, IN and can be reached out via phone at 765-502-4190 and via fax at 765-502-4191.

Location: 3218 Daugherty Dr Ste 140, Lafayette, IN, 47905-0796
person
Provider Profile Details
NPI Number
1639209174
Provider Name
Dean M Kelly
Credential
ANP
Provider Entity Type
Individual
Gender
Male
Address
3218 Daugherty Dr Ste 140, Lafayette, IN, 47905-0796
Phone Number
765-502-4190
Fax Number
765-502-4191
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000599883 01 IN ANTHEM
000000625966 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
3218 Daugherty Dr Ste 140
City
State
Zip
47909-3997
Phone Number
765-502-4190
Fax Number
765-502-4191
person
Provider Business Mailing Address Details
Address
3218 Daugherty Dr Ste 140
City
State
Zip
47909-3997
Phone Number
765-502-4190
Fax Number
765-502-4191
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Occupational Health
Taxonomy
License No.
71000948B (Indiana)
Definition
Definition to come...
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