Individual
MRS. KELSEY MICHELLE CRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(765) 432-6312
Mailing address
979 S 750 W, KOKOMO, IN 46901-9710
(765) 432-6312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
99075142A
IN
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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