| NPI | 1073272001 |
|---|---|
| Doing Business As | KELSEY |
| Entity Type | Organization |
| Authorized Contact | BRIAN KELSEY Director Of Operations 765-418-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |