Doctor Name: | KELLI SHEA DEMPSEY |
NPI Number: | 1003875964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP-C |
License Number: | 71001008A |
Business Practice Address: | 4055 Gateway Blvd Newburgh, IN - 476308947 |
Business Phone Number: | 8128422210 |
Business Fax Number: | 8128424599 |
Mailing Address: | Po Box 637273, CINCINNATI |
State: | OH |
Postal Code: | 452637273 |
Phone Number: | 8128422210 |
Fax Number: | 8128424599 |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 71001008A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |