Individual
ELIZABETH ELEANOR KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1063
(404) 712-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12975
GA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2023
Last updated
03/12/2025
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