Individual
KELSEY JOY EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 15TH AVE APT 119, SCOTTSBLUFF, NE 69361-3822
(308) 641-9806
Mailing address
1016 15TH AVE APT 119, SCOTTSBLUFF, NE 69361-3822
(308) 641-9806
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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