Most Relevant Information
Provider Data
| NPI Number: | 1003483157 |
| Provider Name: | KELLY LENTZ APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3015886 |
Most Important Dates
| Enumeration Date: | 06/08/2021 |
| Last Updated: | 02/16/2023 |
Provider Practice Location
2732 W MICHIGAN ST
INDIANAPOLIS
IN
462223750
Practice Location Phone/Fax
| Phone: | 3175544600 |
| Fax: | 3175544617 |
Provider Mailing Location
720 ESKENAZI AVE BLDG 5TH
INDIANAPOLIS
IN
462025187
Provider Mailing Phone/Fax
| Phone: | 3178803851 |
| Fax: | 3178800343 |