KESHA RAE KELLY


Address: 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495
Phone: 3174151000

KESHA RAE KELLY (NPI# 1205094000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205094000
Entity Type Individual
Full Name KESHA RAE KELLY
Credential NP
Practice Address 8091 Township Line Rd Ste 206
Indianapolis
IN 46260-2495
Practice Telephone 3174151000
Practice Fax Number 3174151010
Mailing Telephone 3174151000
Mailing Fax Number 3174151010
Enumeration Date 2008-05-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
71001948A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200540450 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8240 Naab Rd, Suite 400, Indianapolis, IN 462605927 3174151000 3174151010

Office Location

Street Address 8091 TOWNSHIP LINE RD STE 206
City INDIANAPOLIS
State IN
Zip Code 46260-2495

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760464374 Madalyn K. Squires Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2005-11-18
1396350187 Seven Hills Ob-gyn Associates LLC Nurse Practitioner 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2020-09-09
1598244725 Lara M Naanouh Nurse Practitioner 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2018-08-08
1548619596 Christian C Dawes Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2016-06-10
1629438155 Alyssa Barr Registered Nurse 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2016-02-25
1336481019 Megan Kathleen Monaghan Stoller Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2013-03-20
1245539600 Jennifer Tinder Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2011-03-23
1497972665 Brandy M Hughes Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2007-04-19
1194865956 Hilary Gaudreau Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2007-02-08
1942340799 John Thomas Cleary Obstetrics & Gynecology 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 2007-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
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1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255595450 Natalie N Strong Nurse Practitioner 2040 N Shadeland Ave Ste 300, Indianapolis, IN 46219-1712 2008-07-16
1962033324 Jennifer Pillow Nurse Practitioner 2700 Dr Martin Luther King Jr St, Indianapolis, IN 46208-5019 2020-02-03
1801146295 Li'toia C Kendrick Nurse Practitioner 7120 Clearvista Dr Ste 5100, Indianapolis, IN 46256-1868 2012-09-13
1528314507 Christina Humphrey Nurse Practitioner 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 2012-07-27
1629349998 Danae Leah Young Nurse Practitioner 1002 Wishard Blvd, Indianapolis, IN 46202-2872 2012-01-19
1225310147 Nancy Menning Nurse Practitioner 8111 S Emerson Ave, Suite 204, Indianapolis, IN 46237-8601 2011-09-16
1225326606 Claudia Jeanne Brock Nurse Practitioner 1520 N Senate Ave, Indianapolis, IN 46202-2213 2011-07-19
1316185861 Jessica A Cole Nurse Practitioner 10122 E 10th St, Suite 230, Indianapolis, IN 46229-2664 2009-01-21
1033141155 Annette Rene Moore Nurse Practitioner 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 2006-07-07
1447291257 Meg Moorman Nurse Practitioner 1801 N Senate Blvd, Suite 210, Indianapolis, IN 46202-1228 2006-06-10
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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