# KELSY RICE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336716760
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | PA60460 | CA | — |
| 363AS0400X | Surgical Physician Assistant | — | KS | Yes |

## Other

- **Enumeration date:** 06/04/2021
- **Last updated:** 12/13/2021