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Individual
KELSEY IRONSIDE
Active
Individual
KELSEY IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN195009
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
322556
AZ
Other
Enumeration date
04/18/2025
Last updated
12/01/2025
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