NPI 1053204800

Crystal Kenney Fields, LPN

Practitioner Homemaker Indianapolis, IN

Practice location

Address: 5530 Wood Hollow Dr, Indianapolis, IN 46239-6848
Phone: (317) 993-1990

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 25-018602 (IN)

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Registry record

NPI: 1053204800
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2025
Record last updated: 30 May 2025

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.