Grott, Kelly
Grott, Kelly is an sole proprietor health care provider with primary practice located at 3001 S Creasy Ln Ste 100A , Lafayette IN 47905-5206. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Grott, Kelly can be contacted via phone (765) 701-6451.Contact Information
Primary practice address
3001 S Creasy Ln Ste 100A
Lafayette IN 47905-5206
Phone: (765) 701-6451
Fax: (765) 420-5801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MED-RES-LIC-58231 | Montana |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036156733 | Illinois |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01083529A | Indiana |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11020205A | Indiana |
Profile Details
NPI number | 1801328695 |
---|---|
LBN Legal business name | Grott, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 30th, 2017 |
Last updated | Jul 31st, 2023 - about last year |
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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