Kelley L Wormmeester, PA-C
NPI #1063061711 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1063061711
- Entity Type
- Individual
- Name
- Kelley L Wormmeester, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 5, 2019
- Last Updated
- Feb 24, 2021
Practice Location
- Address
- 714 N SENATE AVE STE 100
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46202-3297
- Phone
- (317) 715-6402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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