Individual
DR. TRACY LYNN KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1802 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-5925
Mailing address
235 IRONWORKS AVE APT 264, MISHAWAKA, IN 46544-2070
(574) 226-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013468A
IN
Other
Enumeration date
05/03/2019
Last updated
10/07/2020
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