NPI 1013521756
Mike Kelly
Practice location
- Address
- 1081 3rd Ave SW STE 7, Carmel, IN 46032-7500
- Phone
- (317) 564-0934
- Mailing address
- 1389 W 86th St # 170, Indianapolis, IN 46260-2101
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1013521756
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Sep 2020
- Record last updated
- 1 Sep 2020
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.