Individual
KELSEY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(219) 405-0531
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009319A
IN
Other
Enumeration date
07/19/2019
Last updated
09/29/2025
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