DEBORAH KELLEY NP NPI 1225012677

NPI Information

NPI: 1225012677
Provider Name: DEBORAH KELLEY, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
8240 NAAB RD
SUITE 155
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-7780
Get Directions

Deborah Kelley, NP is an adult health nurse practitioner in Indianapolis, IN. Deborah Kelley, NP NPI is 1225012677. 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:

8240 NAAB RD
SUITE 155
INDIANAPOLIS, IN
ZIP 46260-927
Phone: (317) 338-7780

The enumeration date for this NPI number is 11/30/2005 and was last updated on 10/6/2017.

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	363L00000X	Nurse Practitioner		71000455A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	71000455A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S51516	MEDICARE UPIN
2	200193950	MEDICAID	INDIANA
3	940550M1	MEDICARE PIN	INDIANA

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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