Provider Demographics
NPI:1447873682
Name:KESTLER, SHELLEY E (RN)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:E
Last Name:KESTLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ONE MEMORIAL SQUARE
Mailing Address - Street 2:SUITE 50
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1270
Mailing Address - Country:US
Mailing Address - Phone:317-468-3257
Mailing Address - Fax:317-468-6268
Practice Address - Street 1:ONE MEMORIAL SQUARE
Practice Address - Street 2:SUITE 2200
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1378
Practice Address - Country:US
Practice Address - Phone:317-462-6662
Practice Address - Fax:317-468-6275
Is Sole Proprietor?:No
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28258763A163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator