Davis, Kelly Sue

Davis, Kelly Sue is an individual health care provider with primary practice located at 6401 E Washington St , Indianapolis IN 46219-6614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Davis, Kelly Sue can be contacted via phone (317) 808-7085.

Contact Information

Primary practice address
6401 E Washington St Indianapolis IN 46219-6614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 28146332A Indiana

Profile Details

NPI number 1588038475
LBN Legal business name Davis, Kelly Sue
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2015
Last updated Jan 14th, 2021 - about 4 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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