Individual
KELCI WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
966 BARTLEY ST, JASPER, IN 47546-2641
(812) 996-7810
Mailing address
966 BARTLEY ST, JASPER, IN 47546-2641
(812) 996-7810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11024583A
IN
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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