Kelly, Caitilin
Kelly, Caitilin is an sole proprietor health care provider with primary practice located at 3161 S Highpoint Ln , Bloomington IN 47401-9605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Kelly, Caitilin can be contacted via phone (812) 287-8788.Contact Information
Primary practice address
3161 S Highpoint Ln
Bloomington IN 47401-9605
Phone: (812) 287-8788
Fax: (812) 333-0725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01034177 | Indiana |
Profile Details
| NPI number | 1811066350 |
|---|---|
| LBN Legal business name | Kelly, Caitilin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Feb 20th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811066350 | NPPES |
| Indiana | MEDICAID | 10018446A |
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