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NPI Code Detail

MEDICARE: KALIE BALES

MEDICARE: KALIE BALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71016775AIN

General Provider Information

NPI Number : 1629968292
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALIE BALES
Provider Business Mailing Address
First Line : 8455 KEYSTONE XING STE 300
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-4353
Country : US
Telephone Number : 317-941-7338
Fax Number :
Provider Business Practice Location Address
First Line : 8455 KEYSTONE XING STE 300
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-4353
Country : US
Telephone Number : 317-941-7338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2025
Last Update Date : 05/18/2026

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Directions to “ KALIE BALES ” Practice Location

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