Individual
KELSEY ANGELA TISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N 4TH AVE E STE 200, NEWTON, IA 50208-3122
(641) 792-2112
Mailing address
155 N 35TH AVE W, NEWTON, IA 50208-8637
(641) 417-8987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A137236
IA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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