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Katherine Joann Kelly, AGACNP-BC
Gerontology Nurse Practitioner in Lafayette, Indiana
NPI 1750062410

Katherine Joann Kelly is a Gerontology Nurse Practitioner based in Indianapolis, IN and is specialized in Gerontology. Katherine Joann Kelly practices in Lafayette, IN and has the professional credentials of AGACNP-BC. The NPI Number for Katherine Joann Kelly is 1750062410 and holds a License No. 71014151A (Indiana).

The current practice location address for Katherine Joann Kelly is 5165 Mccarty Ln, Lafayette, IN and can be reached out via phone at 765-448-8000. You can also correspond with Katherine Joann Kelly through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 5165 Mccarty Ln, Lafayette, IN, 46219-4959
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Provider Profile Details
NPI Number
1750062410
Provider Name
Katherine Joann Kelly
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5165 Mccarty Ln, Lafayette, IN, 46219-4959
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300081318 05 IN
Q00651574 01 IN RAILROAD PTAN
815500590 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5165 Mccarty Ln
City
State
Zip
47905-8764
Phone Number
765-448-8000
Fax Number
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Provider Business Mailing Address Details
Address
250 N Shadeland Ave
City
State
Zip
46219-4959
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
71014151A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71014151A (Indiana)
Definition
Definition to come...
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