Individual
ROBERT KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041316652
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209005585
IL
367500000X
Certified Registered Nurse Anesthetist
28177287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200926480
—
IN
01
—
9232012
BCBS
IL
Enumeration date
08/11/2006
Last updated
11/10/2023
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