Kelly, Derrick E

Kelly, Derrick E is an sole proprietor health care provider with primary practice located at 6517 Royal Oakland Dr , Indianapolis IN 46236-4805. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Kelly, Derrick E can be contacted via phone (317) 657-9382.

Contact Information

Primary practice address
6517 Royal Oakland Dr Indianapolis IN 46236-4805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Indiana

Profile Details

NPI number 1346974896
LBN Legal business name Kelly, Derrick E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2022
Last updated Jul 11th, 2022 - about 2 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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