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Individual
KELSEY LYNN SALAZAR
Active
Individual
KELSEY LYNN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006725
IL
363A00000X
Physician Assistant
Primary
5601010803
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153248
NCCPA
IL
Enumeration date
07/12/2018
Last updated
05/20/2024
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