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NPI Profile for KELLI J BOVENKERK in INDIANAPOLIS, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1285184481 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/12/2016 | |
| Last updated | 10/03/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLI J BOVENKERK
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KELLI J BOVENKERK, NP