Individual
MRS. KELSEY MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 S MAIN ST, FERDINAND, IN 47532-9534
(812) 367-1906
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002285A
IN
363AM0700X
Medical Physician Assistant
10002285A
IN
Other
Enumeration date
07/05/2017
Last updated
03/05/2026
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