Individual
KELSEY KENJI CHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3115
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01080062A
IN
207P00000X
Emergency Medicine Physician
4301108469
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301108469
MI
Other
Enumeration date
07/01/2015
Last updated
01/19/2022
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