Kesha Rae Kelly in Indianapolis - Obstetrics & Gynecology

Kesha Rae Kelly - NPI 1205094000

Kesha Rae Kelly is a Obstetrics & Gynecology in Indianapolis, Indiana. Kesha Rae Kelly practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kesha Rae Kelly is 1205094000. The last update date is 2022-05-05.

Kesha Rae Kelly's current location address is 8091 Township Line Rd Ste 206, Indianapolis, Indiana. You can contact this provider via phone number 3174151000 and fax number 3174151010. The mailing address for Kesha Rae Kelly is 8091 Township Line Rd Ste 206, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kesha Rae Kelly
Address 8091 Township Line Rd Ste 206, Indianapolis, Indiana
Phone Number 3174151000
Fax Number 3174151010
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1205094000
Provider Enumeration Date 2008-05-28
Last Updated Date 2022-05-05

Provider Mailing Address Detail

Address 8091 Township Line Rd Ste 206
City Indianapolis
State Indiana (IN)
Post Code 462602495
Phone Number 3174151000
Fax Number 3174151010

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No 71001948A
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200540450 IN --

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FAQs about Kesha Rae Kelly

What is the unique provider identifier assigned to Kesha Rae Kelly?

The Kesha Rae Kelly has been issued the NPI (National Provider Identifier) 1205094000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kesha Rae Kelly is physically located?

The Kesha Rae Kelly is situated at the following address: 8091 Township Line Rd Ste 206, Indianapolis, IN 462602495.

What is Kesha Rae Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kesha Rae Kelly is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 363Lx0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205094000 to Kesha Rae Kelly?

The Kesha Rae Kelly received its 1205094000 assignment from the Centers for Medicare & Medicaid Services on 2008-05-28.

As of what date were the details related to Kesha Rae Kelly most recently updated or revised?

The information pertaining to Kesha Rae Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-05.

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