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General NPI Number Information
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NPI Number | 1356442362
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Entity Type | Individual
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Provider Name | CHRISTY FAYE KELLAMS MD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 1260 INNOVATION PKWY STE 100
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City | GREENWOOD
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State | IN
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Zip | 46143-3602
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Country | US
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Telephone | 317-802-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 8450 NORTHWEST BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-1381
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Country | US
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Telephone | 317-802-2000
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Fax | 317-802-2170
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01063259A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01063259A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 01063259A
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License Number State | IN
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