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Kelsey L Kmiecik, NP
Pediatric Nurse Practitioner in Indianapolis, Indiana
NPI 1790023372

Kelsey L Kmiecik is a Pediatric Nurse Practitioner based in Indianapolis, IN and is specialized in Pediatrics. Kelsey L Kmiecik practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Kelsey L Kmiecik is 1790023372 and holds a License No. 209.010123 (Indiana).

The current practice location address for Kelsey L Kmiecik is 705 Riley Hospital Dr, Indianapolis, IN and can be reached out via phone at 317-944-9981 and via fax at 317-944-0282.

Location: 705 Riley Hospital Dr, Indianapolis, IN, 46219-4959
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Provider Profile Details
NPI Number
1790023372
Provider Name
Kelsey L Kmiecik
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
705 Riley Hospital Dr, Indianapolis, IN, 46219-4959
Phone Number
317-944-9981
Fax Number
317-944-0282
Provider Enumeration Date
01/16/2013
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001174600 01 IN ANTHEM PTAN
300013700 05 IN
institution
Provider Business Practice Location Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-944-9981
Fax Number
317-944-0282
person
Provider Business Mailing Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-944-9981
Fax Number
317-944-0282
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209.010123 (Illinois)
Definition
Definition to come...
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