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Individual
CARLOS AARON KELSEY
Active
Individual
CARLOS AARON KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9752751-1206
UT
363A00000X
Physician Assistant
Primary
PA1310
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184948135
—
NV
01
—
4610
AZ REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
01
—
PA1310
STATE LICENSE
NV
Enumeration date
03/19/2010
Last updated
08/03/2018
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