Local City Search for Nurses, Advanced Nurse Practitioners, Physician Assistants and Care FacilitiesDEAN M KELLY ANP
Nursing Yellow Pages
Lafayette, Indiana
Provider NPI: 1639209174
Provider Information:DEAN M KELLY ANP
Practice Location:
3218 DAUGHERTY DR STE 140 LAFAYETTE, IN 47909 US
Tel: 765-502-4190 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LX0106X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Occupational Health | IN | 71000948B |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ANTHEM | 000000599883 | IN | 01 |
| ANTHEM | 000000625966 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
