Individual
MRS. KELSEY RENEE BROKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
140 FOX RD, VAN WERT, OH 45891-2475
(419) 238-7727
(419) 238-7768
Mailing address
21051 ROAD T, FORT JENNINGS, OH 45844-9307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP13989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080308
—
OH
Enumeration date
11/07/2012
Last updated
04/18/2024
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