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Individual
KELSEY R JANSEN
Active
Individual
KELSEY R JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001694A
IN
363AS0400X
Surgical Physician Assistant
50003807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090771
—
OH
Enumeration date
05/09/2013
Last updated
05/12/2026
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