IndividualActive
Dean Kelly, ANP
NPI 1639209174 · Occupational Health Nurse Practitioner · Lafayette, IN
Provider details
- NPI number
- 1639209174
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Male
- Sole proprietor
- No
- License
- 71000948B (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3218 Daugherty Dr Ste 140
Lafayette, IN 47909-3997
Phone: (765) 502-4190
Fax: (765) 502-4191
Approximate (ZIP-level) locationGet directions
Mailing address
760 Park East Blvd Ste 5
Lafayette, IN 47905-0796
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.