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

Shalissa Kutzleb

Individual provider Case Manager/Care Coordinator · NPI 1922858554

Shalissa Kutzleb is a Case Manager/Care Coordinator in Carmel, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

697 Pro Med Ln
Carmel, IN 46032-5323
Phone: (317) 574-1254
Fax: (317) 674-0060
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (IN)

Record details

NPI number1922858554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address697 Pro Med Ln, Carmel, IN 46032-5323

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