MS. KELLIE LYN DUNKIN MSN NP NPI 1285060947

NPI Information

NPI: 1285060947
Provider Name: MS. KELLIE LYN DUNKIN, MSN NP
Classification: Clinic/Center - 261QP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
451 S PARK RIDGE RD
SUITE 101
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 331-8282
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MS. Kellie Lyn Dunkin, MSN NP is a primary care clinic center in Bloomington, IN. MS. Kellie Lyn Dunkin, MSN NP NPI is 1285060947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

451 S PARK RIDGE RD
SUITE 101
BLOOMINGTON, IN
ZIP 47401-589
Phone: (812) 331-8282
Fax: (812) 331-8283

The NPI 1285060947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2013 and was last updated on 9/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	28140084A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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