Roe, Kelli Ann

Roe, Kelli Ann is an individual health care provider with primary practice located at 1500 N Ritter Ave , Indianapolis IN 46219-3027. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Roe, Kelli Ann can be contacted via phone (317) 621-2099.

Contact Information

Primary practice address
1500 N Ritter Ave Indianapolis IN 46219-3027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1760491609
LBN Legal business name Roe, Kelli Ann
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 9th, 2007 - about 17 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 1760491609 NPPES
Indiana MEDICAID 8734

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