Arnold, Kelli L

Arnold, Kelli L is an individual health care provider with primary practice located at 9301 Madison St , Crown Point IN 46307-7745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Arnold, Kelli L can be contacted via phone (219) 662-5065.

Contact Information

Primary practice address
9301 Madison St Crown Point IN 46307-7745
Phone: (219) 662-5065
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28126405A Indiana

Profile Details

NPI number 1477549665
LBN Legal business name Arnold, Kelli L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477549665 NPPES
Indiana MEDICAID 200290230

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