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Kelly Elizabeth Dilts, PA-C

Physician Assistant in Indianapolis, IN. Individual provider (NPI-1).

NPI number1104518166
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1104518166
Entity type
Individual (NPI-1)
Name
Kelly Elizabeth Dilts
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2023
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10004014AINYes
363AM0700X Physician Assistant, Medical––

Practice location

2001 W 86th St
Indianapolis, IN 46260-1902

Phone 317-338-2345

Mailing address

14509 Bexley Dr
Carmel, IN 46033-8577

Phone 317-590-3882

Other practice locations

482 S Liberty Dr
Bloomington, IN 47403-1927

Phone 812-353-3443 · Fax 812-353-3442

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