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DEAN M KELLY ANP
NPI 1639209174
Nurse Practitioner - Occupational Health in Lafayette, IN

Active since March 06, 2007
3218 DAUGHERTY DR STE 140, LAFAYETTE, IN 47909(765) 502-4190(765) 502-4191 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dean M Kelly Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEAN M KELLY ANP (NPI 1639209174) is an individual occupational health provider in Lafayette, Indiana, licensed in Indiana (71000948B) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639209174
Entity TypeIndividualMale
Primary Taxonomy363LX0106X
Provider Legal NameDEAN M KELLYCredential: ANP
Location Address3218 DAUGHERTY DR STE 140Lafayette, IN 47909-3997
Mailing Address760 Park East Blvd Ste 5Lafayette, IN 47905-0796 · (765) 447-7473 · Fax (765) 449-8504
Phone(765) 502-4190
Fax(765) 502-4191
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateDecember 11, 2019
✔ NPI 1639209174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License✔ Licensed in IN · 71000948B
3218 DAUGHERTY DR STE 140, Lafayette, IN 47909
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Other Identifiers 2

Other000000599883IN · Anthem
Other000000625966IN · Anthem

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA MICHELE ROADRUCK NP
Nurse Practitioner (Occupational Health)
3218 DAUGHERTY DR STE 140
LAFAYETTE, IN 47909
Tippecanoe County (765) 502-4190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dean Kelly's NPI number?

The NPI number for Dean Kelly is 1639209174. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Dean Kelly located?

Dean Kelly practices at 3218 Daugherty Dr Ste 140, Lafayette, IN 47909. The listed phone number is (765) 502-4190.

What is Dean Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

When was this NPI record last updated?

The NPPES record for Dean Kelly was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.