Katherine J Kelly
Internist Nephrologist
950 W Walnut St E 202
Indianapolis
, Indiana 46202-5188
Katherine J Kelly
Internist Nephrologist
950 W Walnut St E 202
Indianapolis
, Indiana 46202-5188
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Katherine J Kelly
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Katherine J Kelly
- 950 W Walnut St E 202
- Indianapolis, IN
- Zip : 46202-5188
- Phone : (317) 274-7453
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01052062A | IN |
| N | 111NI0900X | Internist | 01052062A | IN |
| Y | 207RN0300X | Nephrologist | 01052062 | IN |
National Provider Identifier
| NPI | 1033174347 |
|---|---|
| Provider Name | Katherine J Kelly |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5188 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 13/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200115640 | (05) | IN |
| G09399 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.