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Kelly Fields

Student in an Organized Health Care Education/Training Program in Greenwood, IN. Individual provider (NPI-1).

NPI number1497329072
StatusActive
Last updated in NPPESJun 3, 2021

Details

NPI
1497329072
Entity type
Individual (NPI-1)
Name
Kelly Fields
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2021
Certification date
Jun 3, 2021
Last updated
Jun 3, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

533 E County Line Rd Ste 101
Greenwood, IN 46143-1074

Phone 317-957-9064

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Greenwood, IN

All 22 Student in an Organized Health Care Education/Training Program providers in Greenwood · All 3,035 providers in Greenwood

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