Kelly R Domenech is a Indianapolis, Indiana based nurse practitioner. Active license number of Kelly R Domenech is 71017023A for Psych/Mental Health in Indiana. Her current practice location is 355 W 16th St Ste 2800, Indianapolis. Patients can reach her at 317-963-7300 or can fax her at 317-963-7075. Kelly R Domenech is NP and her NPI number (Unique professional ID assigned by NPPES) is 1538048376. Kelly R Domenech has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly R Domenech speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly R Domenech
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Practice Address:
355 W 16th St Ste 2800, Indianapolis, Indiana, 46202-2279
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1538048376
NPI Enumeration Date:
27 Aug, 2025
NPI Last Update On:
09 Sep, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly R Domenech are as mentioned below.
License Number
Specialization
State
Status
71017023A
Psych/Mental Health
Indiana
Primary
71017023A
Nurse Practitioner
Indiana
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly R Domenech 355 W 16th St Ste 2800, Indianapolis, Indiana
Zip:
46202-2279
Phone Number:
317-963-7300
Fax Number:
317-963-7075
Patients can reach Kelly R Domenech at 355 W 16th St Ste 2800, Indianapolis, Indiana or can call to book an appointment on 317-963-7300.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.