Individual
KELSEY L WILSON-HENJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 FORDHAM PLZ FL 5, BRONX, NY 10458-5871
(718) 933-2400
Mailing address
500 W 56TH ST APT 2208, NEW YORK, NY 10019-3577
(301) 908-9443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
305020
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/09/2021
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