Individual
LORI KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURE
Contact information
Practice address
6556 WINDING RIDGE LOOP, SANTA FE, NM 87507-3187
(575) 770-0459
Mailing address
6556 WINDING RIDGE LOOP, SANTA FE, NM 87507-3187
(575) 770-0459
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LORI KELSEY
FEIN:46-1140670, CRS:03-254196-00-1
NM
Enumeration date
11/04/2012
Last updated
11/04/2012
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