Healthcare Provider Details

I. General information

NPI: 1497118251
Provider Name (Legal Business Name): KELLEY A ROBROCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13420 N MERIDIAN ST STE 400
CARMEL IN
46032-1581
US

IV. Provider business mailing address

8414 NAAB RD SUITE 210
INDIANAPOLIS IN
46260-1972
US

V. Phone/Fax

Practice location:
  • Phone: 317-573-7050
  • Fax: 317-573-7098
Mailing address:
  • Phone: 317-338-7510
  • Fax: 317-338-7540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01083546A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: