Individual
KELSEY ELETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 CAREW ST STE 300, FORT WAYNE, IN 46805-4764
(260) 425-6650
(260) 422-0086
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28220315A
IN
363L00000X
Nurse Practitioner
Primary
71011853A
IN
Other
Enumeration date
09/28/2021
Last updated
01/07/2026
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