KELLY N. WIKSE

INDIANAPOLIS, IN
NPI1215949797
Former NameKELLY CULLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000393)
Enumeration Date2006-08-12
Last Update Date2015-09-08
Business Address
KELLY N. WIKSE PA
8111 S EMERSON AVE
INDIANAPOLIS, IN 46237-8601
Phone number: 317-528-5261
Mailing Address
KELLY N. WIKSE PA
PO BOX 7112 DEPT. #31
INDIANAPOLIS, IN 46207-7112
Phone number: 317-802-3151