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Search › Indiana › 183500000X

Samuel Kelley, PHD

NPI 1356120018 · on the registry since 2023 · sole proprietor

Practice

Address
410 Grand Valley Blvd
Martinsville, IN 46151
Phone
(765) 349-1138
Fax
(765) 349-2887
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Philip H. Nowak, O.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-22

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