# KELSI WADE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699628248
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374700000X | Technician | E-54656 | NV | Yes |

## Other

- **Enumeration date:** 02/16/2026
- **Last updated:** 02/16/2026
