KELLY CANDICE CONKLIN NP NPI 1073071858

NPI Information

NPI: 1073071858
Provider Name: KELLY CANDICE CONKLIN, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-7150
Get Directions

Kelly Candice Conklin, NP is a pediatrics nurse practitioner in Indianapolis, IN. Kelly Candice Conklin, NP NPI is 1073071858. 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:

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-7150

The NPI 1073071858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2019 and was last updated on 12/14/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	382952	NEW YORK	No
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	95010722	CALIFORNIA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	71013352A	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: 4/28/2024

NPI Synchronization or Removal

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