Individual
MRS. KELSEY LYNNE GRENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 926-1507
Mailing address
1909 31ST AVE SW APT 465, MINOT, ND 58701-7464
(517) 896-4640
(701) 377-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1121
ND
Other
Enumeration date
11/22/2024
Last updated
07/28/2026
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