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Individual

DR. VICKI KELSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D. C.

Contact information

Practice address
7127 HOMESTEAD RD STE F, FORT WAYNE, IN 46814-4601
(260) 432-8777
(260) 432-8777
Mailing address
7127 HOMESTEAD RD STE F, FORT WAYNE, IN 46814-4601
(260) 432-8777
(260) 432-8777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000682A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000091604
ANTHEM
05
100253380A
IN
Enumeration date
05/16/2006
Last updated
05/18/2020
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