Healthcare Provider Details

I. General information

NPI: 1649228156
Provider Name (Legal Business Name): LINDA KAY CALLI NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8208 ALLISONVILLE RD
INDIANAPOLIS IN
46250-1532
US

IV. Provider business mailing address

8208 ALLISONVILLE RD
INDIANAPOLIS IN
46250-1532
US

V. Phone/Fax

Practice location:
  • Phone: 317-849-1222
  • Fax: 317-577-5444
Mailing address:
  • Phone: 317-849-1222
  • Fax: 317-577-5444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71001227A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: