Healthcare Provider Details

I. General information

NPI: 1124943964
Provider Name (Legal Business Name): KALYNN SOLOMEY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492 S BIERMA ST
WHEATFIELD IN
46392-6004
US

IV. Provider business mailing address

PO BOX 771923
DETROIT MI
48278-1923
US

V. Phone/Fax

Practice location:
  • Phone: 219-956-2110
  • Fax: 219-956-3548
Mailing address:
  • Phone: 317-528-4800
  • Fax: 317-865-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018506A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: