Individual
JEANNE STEPHANIE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1052 MARSH ST., STE E, VALPARAISO, IN 46385-6272
(219) 548-4404
(219) 548-4405
Mailing address
1052 MARSH ST, STE E, VALPARAISO, IN 46385-6272
(219) 548-4404
(219) 548-4405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001339A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273199
ANTHEM
IN
Enumeration date
07/17/2006
Last updated
07/08/2009
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