Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Kellyn Thralls

Individual provider Critical Care Medicine Registered Nurse · NPI 1609764554

Michael Kellyn Thralls is a Critical Care Medicine Registered Nurse in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone: (317) 887-7292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 28201523A (IN)

Record details

NPI number1609764554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address8170 Carmelita Ct, Avon, IN 46123-8879

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