Individual
KELSEY RAE HEINRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(970) 495-8891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0063241
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2018
Last updated
07/20/2021
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