NPI 1003103409

Kierstan Kelley

Practitioner Nurse's Aide Indianapolis, IN

Practice location

Address: 3920 Marietta CT, Indianapolis, IN 46235-1809
Phone: (317) 890-9492

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CNA110865 (IN)

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Registry record

NPI: 1003103409
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2011
Record last updated: 6 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.