Mcrae, Kelly Shannon
Mcrae, Kelly Shannon is an individual health care provider with primary practice located at 18051 River Ave Suite 200, Noblesville IN 46062-7091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcrae, Kelly Shannon can be contacted via phone (317) 773-0002.Contact Information
Primary practice address
18051 River Ave Suite 200
Noblesville IN 46062-7091
Phone: (317) 773-0002
Fax: (317) 776-6095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10000446A | Indiana |
Profile Details
| NPI number | 1275798332 |
|---|---|
| LBN Legal business name | Mcrae, Kelly Shannon |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2008 |
| Last updated | Apr 21st, 2010 - about 14 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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