Individual
KELSEY CLAIR HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(800) 654-9410
Mailing address
7420 MERIDIAN HILLS CT APT A, INDIANAPOLIS, IN 46260-3496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002863A
IN
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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