Kelly Nicely
NPI #1043751167 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1043751167
- Entity Type
- Individual
- Name
- Kelly Nicely
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 9, 2017
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 1400 N RITTER AVE STE 410
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46219-3046
- Phone
- (317) 355-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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