Individual
KELSEA RENEA FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
906 BRYAN ST W, DOUGLAS, GA 31533-2330
(912) 383-9300
Mailing address
675 INLET HARBOUR DR, DOUGLAS, GA 31535-6588
(912) 389-0618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN248091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN248091
LICENSE NUMBER
GA
Enumeration date
08/06/2021
Last updated
07/30/2025
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