NPI 1720801897

Kelly Large

Practitioner Health Educator Lebanon, IN

Practice location

Address: 2791 N Lebanon St, Lebanon, IN 46052-2299
Phone: (765) 483-9622
Mailing address: 6610 N Shadeland Ave, Indianapolis, IN 46220-4392

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1720801897
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2024
Record last updated: 6 Nov 2024

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.