Healthcare Provider Details

I. General information

NPI: 1851155808
Provider Name (Legal Business Name): HANNAH E KALK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH E FENKER

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 RILEY HOSPITAL DR
INDIANAPOLIS IN
46202-5109
US

IV. Provider business mailing address

1078 CHAPMAN BLVD
GREENFIELD IN
46140-3191
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-5000
  • Fax:
Mailing address:
  • Phone: 765-524-6489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71014936A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: