Individual
MS. KELSIE RAE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5750
Mailing address
4208 CHERRYWOOD CT, WEST DES MOINES, IA 50265-5368
(317) 965-2573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011510A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055315
—
IN
Enumeration date
09/16/2021
Last updated
09/19/2024
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