DEAN M KELLY ANP NPI 1639209174

NPI Information

  • NPI: 1639209174
  • Provider Name: DEAN M KELLY, ANP
  • Classification: Nurse Practitioner - 363LX0106X
  • Specialization: Occupational Health
  • Entity Type: Individual
  • Address: 3218 DAUGHERTY DR STE 140
    LAFAYETTE, IN
    ZIP 47909
  • Phone: (765) 502-4190

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NPI Details

Dean M Kelly, ANP is an occupational health nurse practitioner in Lafayette, IN. Dean M Kelly, ANP NPI is 1639209174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3218 DAUGHERTY DR STE 140
LAFAYETTE, IN
ZIP 47909-997
Phone: (765) 502-4190
Fax: (765) 502-4191

The enumeration date for this NPI number is 3/6/2007 and was last updated on 12/11/2019.

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
1363LX0106XNurse PractitionerOccupational Health71000948BINDIANAYes

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 Other Provider Identifier Issuer
1000000599883OTHERINDIANAANTHEM
2000000625966OTHERINDIANAANTHEM

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: 11/21/2025

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