Individual
CARLY ELIZABETH KESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 E 10TH ST, JEFFERSONVILLE, IN 47130-5904
(812) 282-6979
Mailing address
PO BOX 776351, CHICAGO, IL 60677-5904
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71014514A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014514A
IN
Other
Enumeration date
10/23/2023
Last updated
11/07/2023
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