Kelly, Nadine
Kelly, Nadine is an individual health care provider with primary practice located at 901 Macarthur Blvd Pathology Department, Munster IN 46321-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kelly, Nadine can be contacted via phone (219) 836-4622.Contact Information
Primary practice address
901 Macarthur Blvd Pathology Department
Munster IN 46321-2901
Phone: (219) 836-4622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01059592A | Indiana |
Profile Details
| NPI number | 1104812627 |
|---|---|
| LBN Legal business name | Kelly, Nadine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Sep 13th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104812627 | NPPES |
| Indiana | MEDICAID | 200490010 |
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