Individual
KELSEY JEAN BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8051 S EMERSON AVE STE 450, INDIANAPOLIS, IN 46237-8667
(317) 859-3259
(317) 859-3265
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003898A
IN
363A00000X
Physician Assistant
56961
CA
Other
Enumeration date
09/03/2019
Last updated
09/11/2024
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