Derrick Kelly
NPI 1346974896 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6517 Royal Oakland Dr
Indianapolis, IN 46236 - Phone
- (317) 657-9382
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana