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Kelly Bodart

NPI 1548118169 · on the registry since 2026 · sole proprietor

Practice

Address
6437 Clearwater Ct
Avon, IN 46123
Phone
(574) 360-1985

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-19

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