Kelly, Rebecca H

Kelly, Rebecca H is an individual health care provider with primary practice located at 7250 Clearvista Dr Suite 327A, Indianapolis IN 46256-4692. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Kelly, Rebecca H can be contacted via phone (317) 621-7390.

Contact Information

Primary practice address
7250 Clearvista Dr Suite 327A Indianapolis IN 46256-4692
Phone: (317) 621-7390
Fax: (317) 621-4494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 01028621A Indiana

Profile Details

NPI number 1740385525
LBN Legal business name Kelly, Rebecca H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 1st, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740385525 NPPES
Indiana Other 000000809673 ANTHEM
Indiana Other 4352781 ANTHEM
Indiana Other 000000810128 ANTHEM

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