Individual
MS. KELSEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11143 PARKVIEW PLAZA DR, SUITE 311, FORT WAYNE, IN 46845-1727
(260) 482-3886
Mailing address
11143 PARKVIEW PLAZA DR, SUITE 311, FORT WAYNE, IN 46845-1727
(260) 482-3886
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
99052419A
IN
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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