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1063061711
KELLEY L WORMMEESTER
INDIANAPOLIS, IN
NPI
1063061711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10002773A)
Enumeration Date
2019-09-05
Last Update Date
2021-02-24
Business Address
KELLEY L WORMMEESTER PA-C
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202-3297
Phone number: 317-715-6402
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Mailing Address
KELLEY L WORMMEESTER PA-C
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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