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Individual

KELSEY LYNN CAIRNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5041
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002523A
IN
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266180D36
INDIVIDUAL MEDICARE PTAN
IN
05
300020455
IN
01
Q00256324
RAILROAD MEDICARE PTAN
IN
Enumeration date
05/01/2018
Last updated
02/12/2024
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