Individual
DR. CHARLES LAMOINE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
10910 US HIGHWAY 24 W, UNIT A, FORT WAYNE, IN 46814-8157
(260) 432-8777
Mailing address
10910 US HIGHWAY 24 W, UNIT A, FORT WAYNE, IN 46814-8157
(260) 432-8777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000637A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253370
—
IN
Enumeration date
05/16/2006
Last updated
07/14/2016
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