Individual
KELSEY C BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 N SENATE BLVD STE 4000, INDIANAPOLIS, IN 46202-1184
(317) 962-2500
(317) 962-2515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001972A
IN
Other
Enumeration date
12/01/2015
Last updated
12/18/2020
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