person
Tyler P Kelly, NP
Family Nurse Practitioner in Avon, Indiana
NPI 1962818864

Tyler P Kelly is a Family Nurse Practitioner based in Carmel, IN and is specialized in Family. Tyler P Kelly practices in Avon, IN and has the professional credentials of NP. The NPI Number for Tyler P Kelly is 1962818864 and holds a License No. 71005109A (Indiana).

The current practice location address for Tyler P Kelly is 120 Avon Market Pl Ste 100, Avon, IN and can be reached out via phone at 317-396-1300.

Location: 120 Avon Market Pl Ste 100, Avon, IN, 46032-3318
person
Provider Profile Details
NPI Number
1962818864
Provider Name
Tyler P Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
120 Avon Market Pl Ste 100, Avon, IN, 46032-3318
Phone Number
317-396-1300
Fax Number
Provider Enumeration Date
07/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71005109B 01 IN CSR PRESCRIPTIVE AUTHORITY
201252820 05 IN
71005109A 01 IN APN PRESCRIPTIVE AUTHORITY
28189341A 01 IN RN LICENSE
institution
Provider Business Practice Location Address Details
Address
120 Avon Market Pl Ste 100
City
State
Zip
46123-6021
Phone Number
317-396-1300
Fax Number
person
Provider Business Mailing Address Details
Address
120 Avon Market Pl Ste 100
City
State
Zip
46123-6021
Phone Number
317-396-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71005109A (Indiana)
Definition
Definition to come...
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