Most Relevant Information
Provider Data
| NPI Number: | 1003228446 |
| Provider Name: | KELLY KELLY N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71004900A |
Most Important Dates
| Enumeration Date: | 05/20/2014 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
4100 COVERT AVE
EVANSVILLE
IN
477145559
Practice Location Phone/Fax
| Phone: | 8124769983 |
| Fax: | 8124376149 |
Provider Mailing Location
4100 COVERT AVE
EVANSVILLE
IN
477145559
Provider Mailing Phone/Fax
| Phone: | 8124769983 |
| Fax: | 8124376149 |