Healthcare Provider Details

I. General information

NPI: 1629705298
Provider Name (Legal Business Name): KELCEY L ADAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 TECHNOLOGY AVE
NEW ALBANY IN
47150-8548
US

IV. Provider business mailing address

PO BOX 24
NEW ALBANY IN
47151-0024
US

V. Phone/Fax

Practice location:
  • Phone: 812-941-4500
  • Fax: 812-941-4506
Mailing address:
  • Phone: 812-252-9020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71012810A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: